Provider Demographics
NPI:1013467414
Name:TRI COUNTY CARETAKERS LLC
Entity Type:Organization
Organization Name:TRI COUNTY CARETAKERS LLC
Other - Org Name:LOVEPOINT ASSISTED LIVING FACILITY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:
Authorized Official - Last Name:PATTERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-322-8572
Mailing Address - Street 1:10313 PLEASANT VIEW DR
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:FL
Mailing Address - Zip Code:34788-3853
Mailing Address - Country:US
Mailing Address - Phone:352-322-8572
Mailing Address - Fax:855-817-9358
Practice Address - Street 1:10313 PLEASANT VIEW DR
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:FL
Practice Address - Zip Code:34788-3853
Practice Address - Country:US
Practice Address - Phone:352-322-8572
Practice Address - Fax:855-817-9358
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-10
Last Update Date:2016-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL016953100320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities