Provider Demographics
NPI:1508308792
Name:LOVE CARE'S LLC
Entity Type:Organization
Organization Name:LOVE CARE'S LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:LAVON
Authorized Official - Middle Name:E
Authorized Official - Last Name:SMILEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-345-7206
Mailing Address - Street 1:2063 MAIN ST # 426
Mailing Address - Street 2:
Mailing Address - City:OAKLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94561-3302
Mailing Address - Country:US
Mailing Address - Phone:510-345-7206
Mailing Address - Fax:
Practice Address - Street 1:301 GEORGIA ST STE 324
Practice Address - Street 2:
Practice Address - City:VALLEJO
Practice Address - State:CA
Practice Address - Zip Code:94590-5945
Practice Address - Country:US
Practice Address - Phone:510-345-7206
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-05
Last Update Date:2017-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)