Provider Demographics
| NPI: | 1669167458 |
|---|---|
| Name: | OUR LOVE 4 YOU LLC |
| Entity type: | Organization |
| Organization Name: | OUR LOVE 4 YOU LLC |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | OWNER |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | SHAWNTIA |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | EASTER |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 419-450-5761 |
| Mailing Address - Street 1: | 3721 HOILES AVE |
| Mailing Address - Street 2: | |
| Mailing Address - City: | TOLEDO |
| Mailing Address - State: | OH |
| Mailing Address - Zip Code: | 43612-1028 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 3721 HOILES AVE |
| Practice Address - Street 2: | |
| Practice Address - City: | TOLEDO |
| Practice Address - State: | OH |
| Practice Address - Zip Code: | 43612-1028 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 419-450-5761 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | Yes |
| Parent Organization LBN: | OUR LOVE 4 YOU LLC |
| Parent Organization TIN: | <UNAVAIL> |
| Enumeration Date: | 2023-04-07 |
| Last Update Date: | 2023-04-17 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 311ZA0620X | Nursing & Custodial Care Facilities | Custodial Care Facility | Adult Care Home |
| No | 251C00000X | Agencies | Day Training, Developmentally Disabled Services | |
| No | 251E00000X | Agencies | Home Health | |
| No | 251S00000X | Agencies | Community/Behavioral Health | |
| No | 253Z00000X | Agencies | In Home Supportive Care | |
| No | 261QA0600X | Ambulatory Health Care Facilities | Clinic/Center | Adult Day Care |
| No | 261QC1500X | Ambulatory Health Care Facilities | Clinic/Center | Community Health |
| No | 261QD1600X | Ambulatory Health Care Facilities | Clinic/Center | Developmental Disabilities |
| No | 261QM0801X | Ambulatory Health Care Facilities | Clinic/Center | Mental Health (Including Community Mental Health Center) |
| No | 261QM0850X | Ambulatory Health Care Facilities | Clinic/Center | Adult Mental Health |
| No | 3104A0630X | Nursing & Custodial Care Facilities | Assisted Living Facility | Assisted Living, Behavioral Disturbances |
| No | 311Z00000X | Nursing & Custodial Care Facilities | Custodial Care Facility | |
| No | 343800000X | Transportation Services | Secured Medical Transport (VAN) | |
| No | 343900000X | Transportation Services | Non-emergency Medical Transport (VAN) | |
| No | 385HR2060X | Respite Care Facility | Respite Care | Respite Care, Intellectual and/or Developmental Disabilities, Child |
