Provider Demographics
NPI:1346415296
Name:LOVING ARMS RESIDENTIAL CARE I
Entity Type:Organization
Organization Name:LOVING ARMS RESIDENTIAL CARE I
Other - Org Name:LOVING ARMS RESIDENTIAL CARE II
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LICENSEE/ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ARLIN
Authorized Official - Middle Name:C
Authorized Official - Last Name:ESTACA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:562-682-7445
Mailing Address - Street 1:14402 HELWIG AVE
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CA
Mailing Address - Zip Code:90650-5022
Mailing Address - Country:US
Mailing Address - Phone:562-682-7445
Mailing Address - Fax:562-864-6308
Practice Address - Street 1:14402 HELWIG AVE
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CA
Practice Address - Zip Code:90650-5022
Practice Address - Country:US
Practice Address - Phone:562-682-7445
Practice Address - Fax:562-864-6308
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-22
Last Update Date:2008-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA197801908310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility