Provider Demographics
NPI:1982285920
Name:WITH LOVE HOME CARE SERVICES
Entity Type:Organization
Organization Name:WITH LOVE HOME CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALVARADO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:321-549-9836
Mailing Address - Street 1:3016 KAILEEN CIR NE
Mailing Address - Street 2:
Mailing Address - City:PALM BAY
Mailing Address - State:FL
Mailing Address - Zip Code:32905-3012
Mailing Address - Country:US
Mailing Address - Phone:321-549-9836
Mailing Address - Fax:
Practice Address - Street 1:165 CENTER ST
Practice Address - Street 2:SUITE 212
Practice Address - City:CAPE CANAVERAL
Practice Address - State:FL
Practice Address - Zip Code:32920-3292
Practice Address - Country:US
Practice Address - Phone:321-549-9836
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-20
Last Update Date:2021-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care