Provider Demographics
NPI:1689331944
Name:KB LOVE, LLC
Entity Type:Organization
Organization Name:KB LOVE, LLC
Other - Org Name:KB LOVE HOME CARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SOLE OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:KACY
Authorized Official - Middle Name:
Authorized Official - Last Name:WATSON
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:443-720-8013
Mailing Address - Street 1:1619 GREEN ST
Mailing Address - Street 2:UNIT 2
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17102
Mailing Address - Country:US
Mailing Address - Phone:443-720-8013
Mailing Address - Fax:
Practice Address - Street 1:1619 GREEN ST
Practice Address - Street 2:UNIT 2
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17102
Practice Address - Country:US
Practice Address - Phone:443-720-8013
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-22
Last Update Date:2021-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health