Healthcare Provider Details

I. General information

NPI: 1932541760
Provider Name (Legal Business Name): LOVELY LANDY CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2013
Last Update Date: 10/31/2025
Certification Date: 10/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1976 CORDELIA CT
ATWATER CA
95301-5302
US

IV. Provider business mailing address

PO BOX 55
ATWATER CA
95301-0055
US

V. Phone/Fax

Practice location:
  • Phone: 209-357-9525
  • Fax: 209-357-0525
Mailing address:
  • Phone: 209-357-9525
  • Fax: 209-357-0525

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: LINDSEY ANN LAMERSON
Title or Position: OWNER/CEO
Credential:
Phone: 209-357-9525