Healthcare Provider Details

I. General information

NPI: 1427623156
Provider Name (Legal Business Name): LOVEBIRD CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2021
Last Update Date: 08/23/2024
Certification Date: 08/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2876 E MEGAN ST
GILBERT AZ
85295-5181
US

IV. Provider business mailing address

2876 E MEGAN ST
GILBERT AZ
85295-5181
US

V. Phone/Fax

Practice location:
  • Phone: 480-569-0108
  • Fax: 480-933-0622
Mailing address:
  • Phone: 480-569-0108
  • Fax: 480-933-0622

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: ANNE W KABATA
Title or Position: OWNER
Credential: LPN
Phone: 480-569-0108