Provider Demographics
NPI:1558931774
Name:ONE LOVE IN HOME CARE LLC
Entity Type:Organization
Organization Name:ONE LOVE IN HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/CFO/SECRETARY/BM/ADM/DPCS
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:NATALIE RENEE
Authorized Official - Last Name:HENRY
Authorized Official - Suffix:
Authorized Official - Credentials:CRNP
Authorized Official - Phone:951-775-3994
Mailing Address - Street 1:1421 E COOLEY DR STE 14
Mailing Address - Street 2:
Mailing Address - City:COLTON
Mailing Address - State:CA
Mailing Address - Zip Code:92324-3979
Mailing Address - Country:US
Mailing Address - Phone:951-775-3994
Mailing Address - Fax:909-699-0462
Practice Address - Street 1:1421 E COOLEY DR STE 14
Practice Address - Street 2:
Practice Address - City:COLTON
Practice Address - State:CA
Practice Address - Zip Code:92324-3979
Practice Address - Country:US
Practice Address - Phone:951-775-3994
Practice Address - Fax:909-699-0462
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-29
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health