Provider Demographics
NPI:1831362714
Name:LOVEJOY ENTERPRISES, LLC
Entity type:Organization
Organization Name:LOVEJOY ENTERPRISES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JERRY
Authorized Official - Middle Name:L
Authorized Official - Last Name:LOVEJOY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:858-451-7844
Mailing Address - Street 1:16486 BERNARDO CENTER DR
Mailing Address - Street 2:SUITE 124
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92128-2518
Mailing Address - Country:US
Mailing Address - Phone:858-451-7844
Mailing Address - Fax:858-451-7847
Practice Address - Street 1:16486 BERNARDO CENTER DR
Practice Address - Street 2:SUITE 124
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92128-2518
Practice Address - Country:US
Practice Address - Phone:858-451-7844
Practice Address - Fax:858-451-7847
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-10
Last Update Date:2008-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAB2006012464251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health