Provider Demographics
NPI:1053876755
Name:PHILIPPE, LOVE
Entity type:Individual
Prefix:
First Name:LOVE
Middle Name:
Last Name:PHILIPPE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:283 S CENTER ST APT 511
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07050-3312
Mailing Address - Country:US
Mailing Address - Phone:973-666-6487
Mailing Address - Fax:
Practice Address - Street 1:280 CENTRAL AVE APT 405
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07050-3414
Practice Address - Country:US
Practice Address - Phone:973-666-6487
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-06
Last Update Date:2019-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR15835300163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health