Provider Demographics
NPI:1912446352
Name:LOVING HEART ADULT DAY CARE INC
Entity type:Organization
Organization Name:LOVING HEART ADULT DAY CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MIGUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:DIAZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-443-5337
Mailing Address - Street 1:422 NE 2ND PL
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33909-1955
Mailing Address - Country:US
Mailing Address - Phone:239-443-5337
Mailing Address - Fax:
Practice Address - Street 1:422 NE 2ND PL
Practice Address - Street 2:SUITE 100
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33909-1955
Practice Address - Country:US
Practice Address - Phone:239-443-5337
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LOVING HEART ADULT DAY CARE INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-02-17
Last Update Date:2017-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9380261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care