Healthcare Provider Details

I. General information

NPI: 1477467629
Provider Name (Legal Business Name): LOVE SPACE HOLDINGS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2026
Last Update Date: 10/02/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1455 FRAZEE RD STE 500
SAN DIEGO CA
92108-4350
US

IV. Provider business mailing address

1908 HOTEL CIR N APT 2005
SAN DIEGO CA
92108-2835
US

V. Phone/Fax

Practice location:
  • Phone: 858-360-2273
  • Fax:
Mailing address:
  • Phone: 858-360-2273
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MRS. JASPREET KAUR GILL
Title or Position: OWNER DIRECTOR
Credential:
Phone: 619-218-1901