Provider Demographics
NPI:1386196962
Name:LOVING HOMECARE INC
Entity Type:Organization
Organization Name:LOVING HOMECARE INC
Other - Org Name:LOVING HOMECARE INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:DELGADO
Authorized Official - Suffix:
Authorized Official - Credentials:CSM
Authorized Official - Phone:213-663-2721
Mailing Address - Street 1:PO BOX 1353
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90609-1353
Mailing Address - Country:US
Mailing Address - Phone:888-852-0152
Mailing Address - Fax:562-777-2237
Practice Address - Street 1:11118 POUNDS AVE
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90603-3231
Practice Address - Country:US
Practice Address - Phone:888-852-0152
Practice Address - Fax:562-777-2237
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-28
Last Update Date:2016-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA194700186251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health