Provider Demographics
NPI:1528873759
Name:LOVELAND CENTER, INC.
Entity type:Organization
Organization Name:LOVELAND CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:PEMBLETON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-493-0016
Mailing Address - Street 1:157 S HAVANA RD
Mailing Address - Street 2:
Mailing Address - City:VENICE
Mailing Address - State:FL
Mailing Address - Zip Code:34292-3104
Mailing Address - Country:US
Mailing Address - Phone:941-493-0016
Mailing Address - Fax:941-800-3479
Practice Address - Street 1:157 S HAVANA RD
Practice Address - Street 2:
Practice Address - City:VENICE
Practice Address - State:FL
Practice Address - Zip Code:34292-3104
Practice Address - Country:US
Practice Address - Phone:941-493-0016
Practice Address - Fax:941-800-3479
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LOVELAND CENTER, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-02-13
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation