Provider Demographics
NPI:1568037943
Name:REAL LOVE HOME CARE LLC
Entity Type:Organization
Organization Name:REAL LOVE HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DONTAISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:DRAPER
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:314-267-1461
Mailing Address - Street 1:7869 RIO TINTO PL
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63111-4052
Mailing Address - Country:US
Mailing Address - Phone:314-267-1461
Mailing Address - Fax:
Practice Address - Street 1:7869 RIO TINTO PL
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63111-4052
Practice Address - Country:US
Practice Address - Phone:314-267-1461
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-26
Last Update Date:2021-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health