Healthcare Provider Details

I. General information

NPI: 1376485425
Provider Name (Legal Business Name): LOVE'S PATHWAY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2026
Last Update Date: 04/08/2026
Certification Date: 04/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 65TH AVE APT B
OAKLAND CA
94621-3608
US

IV. Provider business mailing address

1101 65TH AVE APT B
OAKLAND CA
94621-3608
US

V. Phone/Fax

Practice location:
  • Phone: 510-967-9545
  • Fax:
Mailing address:
  • Phone: 510-967-9545
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name: MRS. SHAYANNA LOVE
Title or Position: FOUNDER
Credential: CD, CHW, CLC
Phone: 510-967-9545