Provider Demographics
NPI:1457650293
Name:LOVING CARE IN HOME REGISTRY SERV. INC.
Entity Type:Organization
Organization Name:LOVING CARE IN HOME REGISTRY SERV. INC.
Other - Org Name:LOVING CARE IN HOME SERVICES, INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:ZABEL
Authorized Official - Suffix:
Authorized Official - Credentials:CNA, CHHA
Authorized Official - Phone:760-219-1462
Mailing Address - Street 1:4920 VICKI ANN RD
Mailing Address - Street 2:SUITE 64
Mailing Address - City:PAHRUMP
Mailing Address - State:NV
Mailing Address - Zip Code:89048-6877
Mailing Address - Country:US
Mailing Address - Phone:760-219-1462
Mailing Address - Fax:775-306-4317
Practice Address - Street 1:2920 CLARK RD SPC 16B
Practice Address - Street 2:
Practice Address - City:BUTTE VALLEY
Practice Address - State:CA
Practice Address - Zip Code:95965-9140
Practice Address - Country:US
Practice Address - Phone:760-219-1462
Practice Address - Fax:775-306-4317
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-18
Last Update Date:2011-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA315403251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA315403OtherDEPT OF HEALTH SERVICES