MEDICARE: LOVECREST HEALTHCARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1285582718
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOVECREST HEALTHCARE LLC

Provider Business Mailing Address
First Line	:	546 PAGODA LOOP
Second Line	:
City	:	DELAWARE
State	:	OH
Zip	:	43015-3766
Country	:	US
Telephone Number	:	614-966-3078
Fax Number	:

Provider Business Practice Location Address
First Line	:	546 PAGODA LOOP
Second Line	:
City	:	DELAWARE
State	:	OH
Zip	:	43015-3766
Country	:	US
Telephone Number	:	614-966-3078
Fax Number	:

Authorized Official
Title or Position	:	RN BSN
Name	:	LAINA MABOTA
Credential	:	NURSE
Telephone Number	:	614-966-3078

Provider Enumeration Date	:	03/19/2026
Last Update Date	:	03/19/2026

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