Provider Demographics
NPI:1467793745
Name:LOVING CARE ALF, INC
Entity Type:Organization
Organization Name:LOVING CARE ALF, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:AFRODICIO
Authorized Official - Middle Name:ROBERTO
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:813-403-8521
Mailing Address - Street 1:11008 AIRVIEW DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33625-4963
Mailing Address - Country:US
Mailing Address - Phone:813-264-1850
Mailing Address - Fax:813-264-1850
Practice Address - Street 1:11008 AIRVIEW DR
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33625-4963
Practice Address - Country:US
Practice Address - Phone:813-264-1850
Practice Address - Fax:813-264-1850
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-11
Last Update Date:2013-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility