Provider Demographics
NPI:1700577913
Name:LOVE ADULT CARE CENTER LLC
Entity Type:Organization
Organization Name:LOVE ADULT CARE CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TAMARA
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-822-1252
Mailing Address - Street 1:2100 E PARHAM RD UNIT 3322
Mailing Address - Street 2:
Mailing Address - City:HENRICO
Mailing Address - State:VA
Mailing Address - Zip Code:23228-1383
Mailing Address - Country:US
Mailing Address - Phone:804-898-8858
Mailing Address - Fax:
Practice Address - Street 1:2571 HOMEVIEW DR
Practice Address - Street 2:
Practice Address - City:HENRICO
Practice Address - State:VA
Practice Address - Zip Code:23294-1700
Practice Address - Country:US
Practice Address - Phone:804-898-8858
Practice Address - Fax:804-728-2187
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-18
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care