Healthcare Provider Details

I. General information

NPI: 1972422293
Provider Name (Legal Business Name): LOVING HOME CARE HB LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2026
Last Update Date: 07/11/2026
Certification Date: 07/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15311 YORKSHIRE LN
HUNTINGTON BEACH CA
92647-2733
US

IV. Provider business mailing address

15311 YORKSHIRE LN
HUNTINGTON BEACH CA
92647-2733
US

V. Phone/Fax

Practice location:
  • Phone: 714-580-6839
  • Fax:
Mailing address:
  • Phone: 714-580-6839
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: TIN LE
Title or Position: LICENSEE
Credential:
Phone: 714-580-6839