Healthcare Provider Details
I. General information
NPI: 1114683125
Provider Name (Legal Business Name): LOVEIS CORP.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/14/2021
Last Update Date: 11/14/2021
Certification Date: 08/03/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9588 TOPANGA CANYON BLVD
CHATSWORTH CA
91311-4011
US
IV. Provider business mailing address
9588 TOPANGA CANYON BLVD
CHATSWORTH CA
91311-4011
US
V. Phone/Fax
- Phone: 818-408-9504
- Fax: 818-849-6874
- Phone: 310-876-4474
- Fax: 818-849-6874
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251J00000X |
| Taxonomy | Nursing Care Agency |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
BARRY
WRIGHT
JR.
Title or Position: CEO
Credential:
Phone: 818-408-9504