Provider Demographics
NPI:1639731540
Name:COVERED BY LOVE, INC.
Entity Type:Organization
Organization Name:COVERED BY LOVE, INC.
Other - Org Name:COVERED BY LOVE INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TAMARA
Authorized Official - Middle Name:
Authorized Official - Last Name:GRIMES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-801-8387
Mailing Address - Street 1:PO BOX 971663
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33197-1663
Mailing Address - Country:US
Mailing Address - Phone:305-801-8387
Mailing Address - Fax:
Practice Address - Street 1:9507 SW 160TH ST STE 210
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33157-3372
Practice Address - Country:US
Practice Address - Phone:305-801-8387
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-01
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL101810600Medicaid
FL112499500Medicaid