Provider Demographics
NPI:1720605173
Name:LOVE LIVING COMPANION CARE
Entity Type:Organization
Organization Name:LOVE LIVING COMPANION CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHINITHA
Authorized Official - Middle Name:
Authorized Official - Last Name:AUSTIN GARNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-356-3880
Mailing Address - Street 1:1164 WESTRIDGE CIR
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35235-1857
Mailing Address - Country:US
Mailing Address - Phone:205-356-3880
Mailing Address - Fax:
Practice Address - Street 1:2700 CORPORATE DR STE 200
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35242-2733
Practice Address - Country:US
Practice Address - Phone:205-356-3380
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-01
Last Update Date:2021-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL1720605173OtherNPI