Provider Demographics
NPI:1750548301
Name:LOVING CARE PERSONAL CARE HOME
Entity type:Organization
Organization Name:LOVING CARE PERSONAL CARE HOME
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:TORRON
Authorized Official - Middle Name:
Authorized Official - Last Name:MINGO
Authorized Official - Suffix:
Authorized Official - Credentials:MS,
Authorized Official - Phone:713-691-7437
Mailing Address - Street 1:3910 NORTH FWY # L
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77022-4302
Mailing Address - Country:US
Mailing Address - Phone:713-691-7437
Mailing Address - Fax:713-699-1572
Practice Address - Street 1:3910 NORTH FWY # L
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77022-4302
Practice Address - Country:US
Practice Address - Phone:713-691-7437
Practice Address - Fax:713-699-1572
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-21
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
310400000X
TX050664261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility