Provider Demographics
NPI:1568080075
Name:LOVING HEALTH CARE, CORP II
Entity Type:Organization
Organization Name:LOVING HEALTH CARE, CORP II
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YUELSON
Authorized Official - Middle Name:
Authorized Official - Last Name:MEDINA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-481-2184
Mailing Address - Street 1:4817 RIDGE POINT DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33624-6325
Mailing Address - Country:US
Mailing Address - Phone:813-481-2184
Mailing Address - Fax:813-354-3455
Practice Address - Street 1:4817 RIDGE POINT DR
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33624-6325
Practice Address - Country:US
Practice Address - Phone:813-481-2184
Practice Address - Fax:813-354-3455
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-10
Last Update Date:2020-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility