Provider Demographics
NPI:1942063946
Name:KATHERINES LOVING CARE LLC
Entity Type:Organization
Organization Name:KATHERINES LOVING CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:NEWBORN
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:252-375-5177
Mailing Address - Street 1:3418 BISHOP PARK DR APT 311
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32792-2845
Mailing Address - Country:US
Mailing Address - Phone:252-375-5177
Mailing Address - Fax:
Practice Address - Street 1:3418 BISHOP PARK DR APT 311
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32792-2845
Practice Address - Country:US
Practice Address - Phone:252-375-5177
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-01
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health