Provider Demographics
NPI:1538674544
Name:LOVING SENIORS INC
Entity Type:Organization
Organization Name:LOVING SENIORS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMIN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHERI
Authorized Official - Middle Name:LYN
Authorized Official - Last Name:PELTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:321-704-0300
Mailing Address - Street 1:5806 INDIGO CROSSING DR
Mailing Address - Street 2:
Mailing Address - City:ROCKLEDGE
Mailing Address - State:FL
Mailing Address - Zip Code:32955-6017
Mailing Address - Country:US
Mailing Address - Phone:321-704-0300
Mailing Address - Fax:321-600-4160
Practice Address - Street 1:5806 INDIGO CROSSING DR
Practice Address - Street 2:
Practice Address - City:ROCKLEDGE
Practice Address - State:FL
Practice Address - Zip Code:32955-6017
Practice Address - Country:US
Practice Address - Phone:321-704-0300
Practice Address - Fax:321-600-4160
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-13
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL12357310400000X
FL12529310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility