Provider Demographics
NPI:1780904730
Name:LOVE-IN-HOME
Entity type:Organization
Organization Name:LOVE-IN-HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ASYA
Authorized Official - Middle Name:ESTE
Authorized Official - Last Name:BABAJANYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-529-5651
Mailing Address - Street 1:1603 NEW YORK DR
Mailing Address - Street 2:
Mailing Address - City:ALTADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91001-3237
Mailing Address - Country:US
Mailing Address - Phone:626-529-5651
Mailing Address - Fax:626-529-5663
Practice Address - Street 1:1603 NEW YORK DR
Practice Address - Street 2:
Practice Address - City:ALTADENA
Practice Address - State:CA
Practice Address - Zip Code:91001-3237
Practice Address - Country:US
Practice Address - Phone:626-529-5651
Practice Address - Fax:626-529-5663
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-01
Last Update Date:2010-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA197607417310500000X, 310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No310500000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Mental Illness