Provider Demographics
NPI:1396284857
Name:LOVING HOME HEALTH CARE, INC
Entity type:Organization
Organization Name:LOVING HOME HEALTH CARE, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:COMPLIANCE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:
Authorized Official - Last Name:KOTOVETS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-849-5842
Mailing Address - Street 1:14545 VICTORY BLVD STE 604
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91411-1620
Mailing Address - Country:US
Mailing Address - Phone:747-900-8636
Mailing Address - Fax:
Practice Address - Street 1:14545 VICTORY BLVD STE 604
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91411-1620
Practice Address - Country:US
Practice Address - Phone:818-849-5842
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-16
Last Update Date:2021-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health