Healthcare Provider Details

I. General information

NPI: 1861994428
Provider Name (Legal Business Name): LOVE HOME INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2018
Last Update Date: 07/17/2023
Certification Date: 07/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

747 S GLASGOW AVE STE B
INGLEWOOD CA
90301-3011
US

IV. Provider business mailing address

119 E BEACH AVE UNIT 7
INGLEWOOD CA
90302-4420
US

V. Phone/Fax

Practice location:
  • Phone: 855-243-5683
  • Fax:
Mailing address:
  • Phone: 323-630-5683
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code177F00000X
TaxonomyLodging Provider
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QR0800X
TaxonomyRecovery Care Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. ZINA LOVE
Title or Position: FOUNDER/CEO
Credential:
Phone: 323-630-5683