Healthcare Provider Details

I. General information

NPI: 1588229512
Provider Name (Legal Business Name): LOVEJOY HOMECARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2019
Last Update Date: 09/06/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10293 ROCKINGHAM DR
SACRAMENTO CA
95827-2529
US

IV. Provider business mailing address

10293 ROCKINGHAM DR
SACRAMENTO CA
95827-2529
US

V. Phone/Fax

Practice location:
  • Phone: 916-747-2418
  • Fax: 916-431-7281
Mailing address:
  • Phone: 916-747-2418
  • Fax: 916-431-7281

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number StateNULL
# 5
Primary TaxonomyN
Taxonomy Code251T00000X
TaxonomyPACE Provider Organization
License Number
License Number StateNULL

VIII. Authorized Official

Name: HELEN HUE T VU
Title or Position: ADMINISTRATOR
Credential:
Phone: 916-747-2418