Provider Demographics
NPI:1710799663
Name:LIUVIS CAREHOME LLC
Entity type:Organization
Organization Name:LIUVIS CAREHOME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LIUVITZA
Authorized Official - Middle Name:
Authorized Official - Last Name:LOPEZ MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-318-2586
Mailing Address - Street 1:12301 ADAIR CT
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33626-2689
Mailing Address - Country:US
Mailing Address - Phone:786-961-8175
Mailing Address - Fax:
Practice Address - Street 1:12301 ADAIR CT
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33626-2689
Practice Address - Country:US
Practice Address - Phone:786-961-8175
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-27
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251C00000XAgenciesDay Training, Developmentally Disabled ServicesGroup - Multi-Specialty
No372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty