Healthcare Provider Details

I. General information

NPI: 1093634024
Provider Name (Legal Business Name): FAITH HOPE & LOVE CARE II
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28128 LOMO DR
RANCHO PALOS VERDES CA
90275-3226
US

IV. Provider business mailing address

1800 E HARDING ST
LONG BEACH CA
90805-3628
US

V. Phone/Fax

Practice location:
  • Phone: 323-842-0580
  • Fax:
Mailing address:
  • Phone: 323-842-0580
  • 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: BRENDA HERNANDEZ
Title or Position: ADMINISTRATOR LICENSEE
Credential:
Phone: 323-842-0580