Healthcare Provider Details

I. General information

NPI: 1174072144
Provider Name (Legal Business Name): LOVING HEART HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2016
Last Update Date: 06/05/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22859 E ALAMO LN
AURORA CO
80015-6670
US

IV. Provider business mailing address

22859 E ALAMO LN
AURORA CO
80015-6670
US

V. Phone/Fax

Practice location:
  • Phone: 303-523-1228
  • Fax: 303-693-8723
Mailing address:
  • Phone: 303-523-1228
  • Fax: 303-693-8723

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number194804
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number1948404
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number194804
License Number StateCO

VIII. Authorized Official

Name: CATHY Y MAK-ZHONG
Title or Position: ADMINSTRATOR
Credential:
Phone: 303-523-1228