Provider Demographics
NPI:1770186645
Name:BELOVED IN-HOME CARE LLC
Entity Type:Organization
Organization Name:BELOVED IN-HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:KLAPPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-867-3402
Mailing Address - Street 1:110 TRADERS CROSS FL 1
Mailing Address - Street 2:
Mailing Address - City:BLUFFTON
Mailing Address - State:SC
Mailing Address - Zip Code:29909-4637
Mailing Address - Country:US
Mailing Address - Phone:843-867-3402
Mailing Address - Fax:843-508-8391
Practice Address - Street 1:110 TRADERS CROSS FL 1
Practice Address - Street 2:
Practice Address - City:BLUFFTON
Practice Address - State:SC
Practice Address - Zip Code:29909-4637
Practice Address - Country:US
Practice Address - Phone:843-867-3402
Practice Address - Fax:843-508-8391
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-20
Last Update Date:2020-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care