Provider Demographics
NPI:1619656501
Name:MOOR LOVE HOME CARE AGENCY LLC
Entity Type:Organization
Organization Name:MOOR LOVE HOME CARE AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHAMBRAM
Authorized Official - Middle Name:
Authorized Official - Last Name:HOPKINS-BEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-393-1361
Mailing Address - Street 1:534 CHURCH RD APT T1
Mailing Address - Street 2:
Mailing Address - City:ELKINS PARK
Mailing Address - State:PA
Mailing Address - Zip Code:19027-2452
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:534 CHURCH RD APT T1
Practice Address - Street 2:
Practice Address - City:ELKINS PARK
Practice Address - State:PA
Practice Address - Zip Code:19027-2452
Practice Address - Country:US
Practice Address - Phone:267-393-1361
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-17
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care