Provider Demographics
NPI:1477726024
Name:LOVING CARE HOME HEALTH GROUP CORP
Entity Type:Organization
Organization Name:LOVING CARE HOME HEALTH GROUP CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROLANDO
Authorized Official - Middle Name:
Authorized Official - Last Name:ARENCIBIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-269-4862
Mailing Address - Street 1:5755 W FLAGLER ST
Mailing Address - Street 2:SUITE 208
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-3441
Mailing Address - Country:US
Mailing Address - Phone:305-269-4862
Mailing Address - Fax:305-269-4863
Practice Address - Street 1:5755 W FLAGLER ST
Practice Address - Street 2:SUITE 208
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-3441
Practice Address - Country:US
Practice Address - Phone:305-269-4862
Practice Address - Fax:305-269-4863
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-03
Last Update Date:2008-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPENDING MEDICARE#OtherPENDING MEDICARE#