Provider Demographics
NPI:1194570143
Name:LOVE LANDING HOMECARE LLC
Entity type:Organization
Organization Name:LOVE LANDING HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ALISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:BRADFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-812-4445
Mailing Address - Street 1:2222 E WEST CONNECTOR APT 220
Mailing Address - Street 2:
Mailing Address - City:AUSTELL
Mailing Address - State:GA
Mailing Address - Zip Code:30106-8192
Mailing Address - Country:US
Mailing Address - Phone:614-500-9873
Mailing Address - Fax:
Practice Address - Street 1:1820 MULKEY RD APT 220
Practice Address - Street 2:
Practice Address - City:AUSTELL
Practice Address - State:GA
Practice Address - Zip Code:30106-8267
Practice Address - Country:US
Practice Address - Phone:678-812-4445
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-23
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care