Healthcare Provider Details

I. General information

NPI: 1124976220
Provider Name (Legal Business Name): CHRISTIAN LOVE HOME CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/17/2026
Last Update Date: 03/17/2026
Certification Date: 03/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 PINE ST
PASO ROBLES CA
93446-2862
US

IV. Provider business mailing address

PO BOX 1585
PASO ROBLES CA
93447-1585
US

V. Phone/Fax

Practice location:
  • Phone: 805-238-3500
  • Fax: 805-582-2372
Mailing address:
  • Phone: 805-238-3500
  • Fax: 805-582-2372

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. BRADLEY YEE
Title or Position: ADMINISTRATOR
Credential:
Phone: 805-238-3500