Provider Demographics
NPI:1407333636
Name:A LOVING HAND HOME CARE LLC
Entity Type:Organization
Organization Name:A LOVING HAND HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SHARINA
Authorized Official - Middle Name:SHANTA
Authorized Official - Last Name:RICHARDSON
Authorized Official - Suffix:
Authorized Official - Credentials:ETC
Authorized Official - Phone:904-615-3331
Mailing Address - Street 1:220 NETTLES LN APT 5-302
Mailing Address - Street 2:
Mailing Address - City:PONTE VEDRA
Mailing Address - State:FL
Mailing Address - Zip Code:32081-7410
Mailing Address - Country:US
Mailing Address - Phone:904-615-3331
Mailing Address - Fax:
Practice Address - Street 1:220 NETTLES LN APT 5-302
Practice Address - Street 2:
Practice Address - City:PONTE VEDRA
Practice Address - State:FL
Practice Address - Zip Code:32081-7410
Practice Address - Country:US
Practice Address - Phone:904-615-3331
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-20
Last Update Date:2018-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL331245376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376K00000XNursing Service Related ProvidersNurse's AideGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
=========Other193400000X
FL=========OtherGROUP 193400000X