LOVELY HOME ALF, LLC (NPI# 1215543657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215543657 |
| Entity Type | Organization |
| Organization Name | LOVELY HOME ALF, LLC |
| Practice Address |
1246 Harlingen Rd Sw Palm Bay FL 32908-7146 |
| Practice Telephone | 3215434189 |
| Practice Fax Number | 3213273698 |
| Mailing Telephone | 3215434189 |
| Mailing Fax Number | 3213273698 |
| Enumeration Date | 2020-09-21 |
| Last Update Date | 2020-09-21 |
| Authorized Official Name | MR. TENESCA DELVA (ADMINISTRATOR) |
| Authorized Official Telephone | 3215434189 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3104A0630X |
Assisted Living Facility Specialization: Assisted Living, Behavioral Disturbances |
Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| ASSISTED L IVING FACILITY | Doing Business As Name - Organization |
| Street Address |
1246 HARLINGEN RD SW |
| City | PALM BAY |
| State | FL |
| Zip Code | 32908-7146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871136127 | Lucienne Cajuste Delva | Assisted Living Facility | 1246 Harlingen Rd Sw, Palm Bay, FL 32908-7146 | 2019-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043663537 | Milena Tellechea Casanueva | Registered Nurse | 761 Santo Domingo Ave Sw, Palm Bay, FL 32908 | 2016-07-19 |
| 1023351996 | Zion's Assisted Living Facility, Inc. | Assisted Living Facility | 2029 Jupiter Blvd Sw, Palm Bay, FL 32908 | 2013-03-29 |
| 1710267364 | Laurie Kay Bailey | Massage Therapist | 3098 Cambria Avenue, Palm Bay, FL 32908 | 2011-08-26 |
| 1689797946 | Fritz Delmont | Licensed Practical Nurse | 3056 Ferdon Ave, Palm Bay, FL 32908 | 2007-04-09 |
| 1801340732 | Trinity Non Emergency Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 1590 La Maderia Dr Sw, Palm Bay, FL 32908-1100 | 2016-08-09 |
| 1326354606 | Merlyn Labrador | Marriage & Family Therapist | 1500 Las Palmos Dr Sw, Palm Bay, FL 32908-1120 | 2010-08-25 |
| 1245544303 | Matthew M Fisher | Massage Therapist | 1570 Las Palmos Dr Sw, Palm Bay, FL 32908-1120 | 2010-07-31 |
| 1780999284 | Colleen M Fisher | Massage Therapist | 1570 Las Palmos Dr Sw, Palm Bay, FL 32908-1120 | 2010-08-10 |
| 1922271220 | Marrilyn K Tennyson | Occupational Therapist | 1700 Las Palmos Dr Sw, Palm Bay, FL 32908-1122 | 2008-04-08 |
| 1528531076 | Al-quiyamah Ghafur Faiz | Counselor | 1606 Sawgrass Dr Sw, Palm Bay, FL 32908-1126 | 2019-01-08 |
| Find all providers in zip 32908 | ||||
| Taxonomy Code | 3104A0630X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Behavioral Disturbances |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639512098 | Alf Bc Bethesda, LLC | Assisted Living Facility | 2800 Fordham Rd Ne, Palm Bay, FL 32905-4312 | 2013-04-16 |
| 1558662734 | Angels Landing of Brevard Inc | Assisted Living Facility | 731 Nw Altona Street, Palm Bay, FL 32907 | 2010-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366040354 | Jaime E Hatch | Assisted Living Facility | 86374 Peeples Rd, Yulee, FL 32097-3387 | 2020-10-13 |
| 1730711219 | North Florida Senior Living LLC | Assisted Living Facility | 541103 Lem Turner Rd, Callahan, FL 32011-8546 | 2020-02-12 |
| 1144860206 | Iconnect Jax | Assisted Living Facility | 4372 Southside Blvd Ste 203, Jacksonville, FL 32216-8503 | 2020-01-07 |
| 1013495175 | Sunshine Assisted Living Home Care Facility. | Assisted Living Facility | 1422 Se 23rd Ter., Crape Coral, FL 33990 | 2018-08-01 |
| 1790276905 | Villa Rosa Iv, Inc. | Assisted Living Facility | 3051 E. 4 Avenue, Hialeah, FL 33013 | 2018-05-23 |
| 1679062814 | Interdisciplinary Healthcare Services LLC | Assisted Living Facility | 12751 Sw 226 Street, Miami, FL 33170 | 2018-05-03 |
| 1104368240 | Jermaine Jordan | Assisted Living Facility | 1210 Retreat View Cir, Sanford, FL 32771-7276 | 2016-11-07 |
| 1346617412 | Louise Irving | Assisted Living Facility | 4561 Sw 36th St, West Park, FL 33023-5511 | 2015-08-25 |
| 1821473000 | A-1 Medical and Behavioral Management Svc | Assisted Living Facility | 2822 54th Ave S, # 215, St Petersburg, FL 33712-4610 | 2015-07-29 |
| 1730574906 | Jordico LLC | Assisted Living Facility | 4417 13th Street, Suite 142, Saint Cloud, FL 34769 | 2015-04-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.