Provider Demographics
NPI:1619277597
Name:LOVELY AND KIND HOME
Entity Type:Organization
Organization Name:LOVELY AND KIND HOME
Other - Org Name:LOVELY AND KIND HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MISS
Authorized Official - First Name:OGECHUKWU
Authorized Official - Middle Name:
Authorized Official - Last Name:OBI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-814-4545
Mailing Address - Street 1:14634 WYNBOURN WAY
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-4702
Mailing Address - Country:US
Mailing Address - Phone:832-814-4545
Mailing Address - Fax:281-879-1320
Practice Address - Street 1:14634 WYNBOURN WAY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083-4702
Practice Address - Country:US
Practice Address - Phone:832-814-4545
Practice Address - Fax:281-879-1320
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LOVELY AND KIND HOME
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-10-26
Last Update Date:2010-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX102775310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility