Provider Demographics
NPI:1639992183
Name:LOVE ONE ON ONE CARE LLC
Entity type:Organization
Organization Name:LOVE ONE ON ONE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TRINITY
Authorized Official - Middle Name:
Authorized Official - Last Name:PROCTOR
Authorized Official - Suffix:
Authorized Official - Credentials:PSA LICENSE
Authorized Official - Phone:463-777-5702
Mailing Address - Street 1:55 S STATE AVE STE 347
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46201-3895
Mailing Address - Country:US
Mailing Address - Phone:463-777-5702
Mailing Address - Fax:
Practice Address - Street 1:55 S STATE AVE STE 347
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46201-3895
Practice Address - Country:US
Practice Address - Phone:463-777-5702
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LOVE ONE ON ONE CARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-11-04
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health