Provider Demographics
NPI:1285866285
Name:LOVING HOME HOSPICE,INC.
Entity Type:Organization
Organization Name:LOVING HOME HOSPICE,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:HOWAR
Authorized Official - Middle Name:DYLETTE
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-578-2450
Mailing Address - Street 1:PO BOX 940531
Mailing Address - Street 2:
Mailing Address - City:SIMI VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93094-0531
Mailing Address - Country:US
Mailing Address - Phone:805-578-2450
Mailing Address - Fax:805-582-0131
Practice Address - Street 1:1883 SPRINGGATE LN
Practice Address - Street 2:STE. G
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93065-2980
Practice Address - Country:US
Practice Address - Phone:805-578-2450
Practice Address - Fax:805-582-0131
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-10
Last Update Date:2009-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative MedicineGroup - Single Specialty