Provider Demographics
NPI:1578280772
Name:LAUGH LOVE LIVE HOME CARE
Entity Type:Organization
Organization Name:LAUGH LOVE LIVE HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:FREDERICKA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCGIRT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-228-9355
Mailing Address - Street 1:4357 LAKE LUCERNE CIR
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33409-7883
Mailing Address - Country:US
Mailing Address - Phone:561-951-5494
Mailing Address - Fax:
Practice Address - Street 1:2328 10TH AVE N STE 103
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33461-6612
Practice Address - Country:US
Practice Address - Phone:561-951-5494
Practice Address - Fax:561-710-7676
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-27
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Single Specialty
No253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL114648700Medicaid