Provider Demographics
NPI:1912432014
Name:LOVE FOR LIFE AT HOME SERVICES, INC.
Entity type:Organization
Organization Name:LOVE FOR LIFE AT HOME SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:SHANESHA
Authorized Official - Middle Name:J
Authorized Official - Last Name:CAVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-548-9699
Mailing Address - Street 1:283 LISBON AVE
Mailing Address - Street 2:UPPER
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14215-1027
Mailing Address - Country:US
Mailing Address - Phone:716-548-9699
Mailing Address - Fax:888-879-0325
Practice Address - Street 1:283 LISBON AVE
Practice Address - Street 2:UPPER
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14215-1027
Practice Address - Country:US
Practice Address - Phone:716-548-9699
Practice Address - Fax:888-879-0325
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-26
Last Update Date:2017-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health