Provider Demographics
NPI:1427623156
Name:LOVEBIRD CARE LLC
Entity type:Organization
Organization Name:LOVEBIRD CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:W
Authorized Official - Last Name:KABATA
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:480-569-0108
Mailing Address - Street 1:2876 E MEGAN ST
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85295-5181
Mailing Address - Country:US
Mailing Address - Phone:480-569-0108
Mailing Address - Fax:480-933-0622
Practice Address - Street 1:2876 E MEGAN ST
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85295-5181
Practice Address - Country:US
Practice Address - Phone:480-569-0108
Practice Address - Fax:480-933-0622
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-25
Last Update Date:2024-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ343209Medicaid