Provider Demographics
NPI:1912886854
Name:BED OF LOVE LLC
Entity type:Organization
Organization Name:BED OF LOVE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:PATRICE
Authorized Official - Middle Name:LATONA
Authorized Official - Last Name:LEWIS KIRCHEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-267-0083
Mailing Address - Street 1:2811 PEACH LN
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77502-5415
Mailing Address - Country:US
Mailing Address - Phone:818-267-0083
Mailing Address - Fax:
Practice Address - Street 1:2811 PEACH LN
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77502-5415
Practice Address - Country:US
Practice Address - Phone:818-267-0083
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-27
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility