Provider Demographics
NPI:1730307497
Name:LOVE & JOY PERSONAL CARE HOME
Entity Type:Organization
Organization Name:LOVE & JOY PERSONAL CARE HOME
Other - Org Name:LOVE AND JOY REHAB ADULT DAY CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:EVETTE
Authorized Official - Last Name:SWIRCZYNSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-733-6900
Mailing Address - Street 1:PO BOX 330344
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77233-0344
Mailing Address - Country:US
Mailing Address - Phone:281-684-1641
Mailing Address - Fax:713-733-3695
Practice Address - Street 1:4440 BENNINGTON ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77016-6904
Practice Address - Country:US
Practice Address - Phone:713-733-6900
Practice Address - Fax:713-738-8323
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-20
Last Update Date:2020-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX120204251C00000X
TX005453251E00000X
251S00000X, 261QA0600X
TX119797310400000X
TX115409310400000X
TX119594310400000X
TX119122310400000X
TX0001007280320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No251E00000XAgenciesHome Health
No251S00000XAgenciesCommunity/Behavioral Health
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX005453Medicaid