Provider Demographics
NPI:1528525466
Name:IN LOVING HANDS COMPASSIONATE FAMILY HOME CARE
Entity type:Organization
Organization Name:IN LOVING HANDS COMPASSIONATE FAMILY HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:VIRANDA
Authorized Official - Middle Name:D
Authorized Official - Last Name:WHITE-TINSLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-584-5724
Mailing Address - Street 1:PO BOX 441435
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32222-0014
Mailing Address - Country:US
Mailing Address - Phone:904-584-5724
Mailing Address - Fax:
Practice Address - Street 1:2044 DEAN A AVE
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32208-3711
Practice Address - Country:US
Practice Address - Phone:904-374-0217
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-27
Last Update Date:2019-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health