Provider Demographics
NPI:1407661416
Name:LOVE CHRISTIAN FELLOWSHIP
Entity type:Organization
Organization Name:LOVE CHRISTIAN FELLOWSHIP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PASTOR OF ADMINSTRATION
Authorized Official - Prefix:MS
Authorized Official - First Name:TAMARA
Authorized Official - Middle Name:L
Authorized Official - Last Name:QUANSAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-564-5271
Mailing Address - Street 1:13155 E ELK PL
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80239-4428
Mailing Address - Country:US
Mailing Address - Phone:303-564-5271
Mailing Address - Fax:
Practice Address - Street 1:13155 E ELK PL
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80239-4428
Practice Address - Country:US
Practice Address - Phone:303-564-5271
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-08
Last Update Date:2025-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based
No253Z00000XAgenciesIn Home Supportive Care
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No332U00000XSuppliersHome Delivered Meals
No385H00000XRespite Care FacilityRespite Care