Provider Demographics
NPI:1699336750
Name:504LOVE LLC
Entity type:Organization
Organization Name:504LOVE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THE OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CECILY
Authorized Official - Middle Name:L
Authorized Official - Last Name:LAMBERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-435-2756
Mailing Address - Street 1:6432 LAFAYE ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70122-6532
Mailing Address - Country:US
Mailing Address - Phone:504-435-2756
Mailing Address - Fax:
Practice Address - Street 1:6432 LAFAYE ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70122-6532
Practice Address - Country:US
Practice Address - Phone:504-435-2756
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CECILY LAMBERT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-06-27
Last Update Date:2019-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care