Provider Demographics
NPI:1710593082
Name:SIMPLYLOVE CARE INC
Entity Type:Organization
Organization Name:SIMPLYLOVE CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELIZA
Authorized Official - Middle Name:REBECCA
Authorized Official - Last Name:KETEKU
Authorized Official - Suffix:
Authorized Official - Credentials:RN, MSN
Authorized Official - Phone:615-293-4132
Mailing Address - Street 1:1161 MURFREESBORO PIKE STE 520
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37217-2229
Mailing Address - Country:US
Mailing Address - Phone:615-293-4132
Mailing Address - Fax:
Practice Address - Street 1:1161 MURFREESBORO PIKE STE 520
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37217-2229
Practice Address - Country:US
Practice Address - Phone:615-293-4132
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-21
Last Update Date:2022-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251J00000XAgenciesNursing Care
No320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities