Provider Demographics
NPI:1265048292
Name:LOVE 2 CARE HOMES
Entity type:Organization
Organization Name:LOVE 2 CARE HOMES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN ADMINISTRATOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:TERRI
Authorized Official - Middle Name:
Authorized Official - Last Name:JACKSON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:760-980-4326
Mailing Address - Street 1:10813 TUMBLEWEED RD
Mailing Address - Street 2:
Mailing Address - City:APPLE VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92308-3628
Mailing Address - Country:US
Mailing Address - Phone:213-842-5977
Mailing Address - Fax:888-822-1618
Practice Address - Street 1:19432 US HIGHWAY 18
Practice Address - Street 2:
Practice Address - City:APPLE VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92307-2625
Practice Address - Country:US
Practice Address - Phone:760-980-4326
Practice Address - Fax:888-822-1618
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-16
Last Update Date:2020-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility