Provider Demographics
NPI:1659252823
Name:LOVE ELDER VISITS
Entity type:Organization
Organization Name:LOVE ELDER VISITS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANGELIQUE
Authorized Official - Middle Name:
Authorized Official - Last Name:WHITEHOUSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:802-893-2288
Mailing Address - Street 1:26011 LOBLOLLY LN
Mailing Address - Street 2:
Mailing Address - City:LAND O LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:34639-5615
Mailing Address - Country:US
Mailing Address - Phone:813-586-0503
Mailing Address - Fax:
Practice Address - Street 1:5321 MEMORIAL HWY
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33634-7358
Practice Address - Country:US
Practice Address - Phone:813-586-0503
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LOVING OUTREACH VISITS FOR ELDERS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-09-11
Last Update Date:2025-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty