Provider Demographics
NPI:1558720052
Name:LOVE DOVE PERSONAL HOME HEALTH CARE AGENCY LLC
Entity Type:Organization
Organization Name:LOVE DOVE PERSONAL HOME HEALTH CARE AGENCY LLC
Other - Org Name:LOVE DOVE PERSONAL CARE AGENCY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:
Authorized Official - Last Name:BROADWAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-328-5448
Mailing Address - Street 1:210 FOXBURG DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15205-9798
Mailing Address - Country:US
Mailing Address - Phone:412-788-7729
Mailing Address - Fax:
Practice Address - Street 1:210 FOXBURG DR
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15205-9798
Practice Address - Country:US
Practice Address - Phone:412-788-7729
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-12
Last Update Date:2016-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA29463601253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care