Provider Demographics
NPI:1770029910
Name:ONE LOVE CARE LLC
Entity Type:Organization
Organization Name:ONE LOVE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO & PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:SHINEKA
Authorized Official - Middle Name:
Authorized Official - Last Name:FOY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-787-2116
Mailing Address - Street 1:3450 W CHEYENNE AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89032-8223
Mailing Address - Country:US
Mailing Address - Phone:702-787-2116
Mailing Address - Fax:
Practice Address - Street 1:3450 W CHEYENNE AVE STE 200
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89032-8223
Practice Address - Country:US
Practice Address - Phone:702-787-2116
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-11
Last Update Date:2017-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty