Provider Demographics
NPI:1801215488
Name:ONE LOVE HOME CARE LLC
Entity type:Organization
Organization Name:ONE LOVE HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MIA
Authorized Official - Middle Name:TANEE
Authorized Official - Last Name:BYRD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-685-5859
Mailing Address - Street 1:14220 WATERLYN DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28278-7670
Mailing Address - Country:US
Mailing Address - Phone:704-685-5859
Mailing Address - Fax:800-915-7164
Practice Address - Street 1:4607 CHARLOTTE HWY
Practice Address - Street 2:SUITE 1
Practice Address - City:LAKE WYLIE
Practice Address - State:SC
Practice Address - Zip Code:29710-8144
Practice Address - Country:US
Practice Address - Phone:704-685-5859
Practice Address - Fax:800-915-7164
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-10
Last Update Date:2014-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care