Provider Demographics
NPI:1447935390
Name:LOVE ABIDES ELDERCARE LLC
Entity type:Organization
Organization Name:LOVE ABIDES ELDERCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SHARRON
Authorized Official - Middle Name:
Authorized Official - Last Name:LEE- HELMS
Authorized Official - Suffix:
Authorized Official - Credentials:NURSE
Authorized Official - Phone:850-296-9139
Mailing Address - Street 1:2918 PENN AVE STE A
Mailing Address - Street 2:
Mailing Address - City:MARIANNA
Mailing Address - State:FL
Mailing Address - Zip Code:32448-2715
Mailing Address - Country:US
Mailing Address - Phone:850-296-9139
Mailing Address - Fax:
Practice Address - Street 1:2918 PENN AVE STE A
Practice Address - Street 2:
Practice Address - City:MARIANNA
Practice Address - State:FL
Practice Address - Zip Code:32448-2715
Practice Address - Country:US
Practice Address - Phone:850-296-9139
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-19
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No251E00000XAgenciesHome Health