Provider Demographics
NPI:1740483668
Name:NURSING LOVE & CARE FACILITIES
Entity type:Organization
Organization Name:NURSING LOVE & CARE FACILITIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:V/P
Authorized Official - Prefix:
Authorized Official - First Name:ELIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MURIAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-322-1788
Mailing Address - Street 1:1045 WEST 23RD ST
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012
Mailing Address - Country:US
Mailing Address - Phone:305-883-1915
Mailing Address - Fax:305-883-2080
Practice Address - Street 1:1045 WEST 23RD ST
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012
Practice Address - Country:US
Practice Address - Phone:305-883-1915
Practice Address - Fax:305-883-2080
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-07
Last Update Date:2008-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL6054310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL676593900Medicaid
FL140614100Medicaid