Provider Demographics
NPI:1356183164
Name:LOVE PEACE AND SERENITY HOME CARE SERVICES INC
Entity type:Organization
Organization Name:LOVE PEACE AND SERENITY HOME CARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/MANAGING OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:ARTHUR
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:904-955-9015
Mailing Address - Street 1:1912 VALENS DR E
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32216-4436
Mailing Address - Country:US
Mailing Address - Phone:904-955-9015
Mailing Address - Fax:
Practice Address - Street 1:1912 VALENS DR E
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32216-4436
Practice Address - Country:US
Practice Address - Phone:904-955-9015
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-11
Last Update Date:2024-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care