Provider Demographics
NPI:1114114097
Name:LOVELAND HOUSE ASSISTED LIVING
Entity Type:Organization
Organization Name:LOVELAND HOUSE ASSISTED LIVING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:L
Authorized Official - Last Name:STROZZI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-663-2223
Mailing Address - Street 1:2115 EAGLE DR
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80537-6167
Mailing Address - Country:US
Mailing Address - Phone:970-663-2223
Mailing Address - Fax:970-663-5352
Practice Address - Street 1:2115 EAGLE DR
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80537-6167
Practice Address - Country:US
Practice Address - Phone:970-663-2223
Practice Address - Fax:970-663-5352
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-25
Last Update Date:2007-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAL0389305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization