Provider Demographics
NPI:1366833329
Name:LOVING CARE CENTER THE
Entity Type:Organization
Organization Name:LOVING CARE CENTER THE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SALVADOR
Authorized Official - Middle Name:
Authorized Official - Last Name:ELSA
Authorized Official - Suffix:
Authorized Official - Credentials:P
Authorized Official - Phone:305-274-1980
Mailing Address - Street 1:9210 SW 56TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-6527
Mailing Address - Country:US
Mailing Address - Phone:305-274-1980
Mailing Address - Fax:305-274-1980
Practice Address - Street 1:9210 SW 56TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-6527
Practice Address - Country:US
Practice Address - Phone:305-274-1980
Practice Address - Fax:305-274-1980
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-12
Last Update Date:2015-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL844310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility