Healthcare Provider Details

I. General information

NPI: 1093521098
Provider Name (Legal Business Name): LOVING TOUCH LIVING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2024
Last Update Date: 03/04/2025
Certification Date: 02/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

473 E. CARNEGIE DRIVE SUITE 200
SAN BERNARDINO CA
92408
US

IV. Provider business mailing address

473 E. CARNEGIE DRIVE SUITE 200
SAN BERNARDINO CA
92408
US

V. Phone/Fax

Practice location:
  • Phone: 951-213-0276
  • Fax:
Mailing address:
  • Phone: 323-568-9272
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: BRITTANY BROWN
Title or Position: OWNER
Credential:
Phone: 323-568-9272