Healthcare Provider Details

I. General information

NPI: 1114862638
Provider Name (Legal Business Name): LOVES SUPPORT SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/21/2026
Last Update Date: 04/21/2026
Certification Date: 04/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

517 ARROYO GRANDE LN
SUISUN CITY CA
94585-3078
US

IV. Provider business mailing address

PO BOX 364
FAIRFIELD CA
94533-0036
US

V. Phone/Fax

Practice location:
  • Phone: 510-978-9188
  • Fax:
Mailing address:
  • Phone: 510-978-9188
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: CHARLENE J GRIFFIN
Title or Position: OWNER
Credential:
Phone: 510-978-9188