Provider Demographics
NPI:1811427768
Name:LOVE IN CARE LLC DBA GOLDEN HEART SENIOR CARE
Entity type:Organization
Organization Name:LOVE IN CARE LLC DBA GOLDEN HEART SENIOR CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:PERRONE
Authorized Official - Last Name:RYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-333-8138
Mailing Address - Street 1:560 SYLVAN AVE STE 3220
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD CLIFFS
Mailing Address - State:NJ
Mailing Address - Zip Code:07632-3170
Mailing Address - Country:US
Mailing Address - Phone:732-333-8138
Mailing Address - Fax:732-443-7075
Practice Address - Street 1:254 BRICK BLVD
Practice Address - Street 2:UNIT 3
Practice Address - City:ENGLEWOOD CLIFFS
Practice Address - State:NJ
Practice Address - Zip Code:07632
Practice Address - Country:US
Practice Address - Phone:732-333-8138
Practice Address - Fax:732-443-7075
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-14
Last Update Date:2017-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ0299850251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ=========OtherHOME HEALTH CARE