Provider Demographics
NPI:1497239354
Name:LOVING MEMORIES HOMECARE SERVICES, LLC
Entity Type:Organization
Organization Name:LOVING MEMORIES HOMECARE SERVICES, LLC
Other - Org Name:LOVING MEMORIES HOMECARE SERVICES, LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DANY
Authorized Official - Middle Name:A
Authorized Official - Last Name:ALCIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-288-9585
Mailing Address - Street 1:PO BOX 584865
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34758-0061
Mailing Address - Country:US
Mailing Address - Phone:407-288-9585
Mailing Address - Fax:
Practice Address - Street 1:443 MARLBERRY LEAF AVE
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34758-3692
Practice Address - Country:US
Practice Address - Phone:407-288-9585
Practice Address - Fax:407-350-3110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-17
Last Update Date:2019-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty
No251E00000XAgenciesHome Health