Provider Demographics
| NPI: | 1881865582 |
|---|---|
| Name: | LOVETT'S FOSTERCARE |
| Entity type: | Organization |
| Organization Name: | LOVETT'S FOSTERCARE |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | DIRECTOR |
| Authorized Official - Prefix: | MS |
| Authorized Official - First Name: | SELINA |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | SPENCER |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | MS |
| Authorized Official - Phone: | 305-621-1021 |
| Mailing Address - Street 1: | 2250 NW 172ND TER |
| Mailing Address - Street 2: | |
| Mailing Address - City: | MIAMI GARDENS |
| Mailing Address - State: | FL |
| Mailing Address - Zip Code: | 33056-4624 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 305-621-1021 |
| Mailing Address - Fax: | 305-626-9310 |
| Practice Address - Street 1: | 2250 NW 172ND TER |
| Practice Address - Street 2: | |
| Practice Address - City: | MIAMI GARDENS |
| Practice Address - State: | FL |
| Practice Address - Zip Code: | 33056-4624 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 305-621-1021 |
| Practice Address - Fax: | 305-626-9310 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2008-03-20 |
| Last Update Date: | 2008-03-20 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| FL | 1107747706 | 385HR2055X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 385HR2055X | Respite Care Facility | Respite Care | Respite Care, Mental Illness, Child |