=====================================================
General NPI Number Information
=====================================================
NPI Number | 1558184259
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | LORI'S HOME NURSING SERVICES LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/02/2024
-----------------------------------------------------
Last Update Date | 11/16/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 10434 BECKWORTH CT
-----------------------------------------------------
City | RIVERSIDE
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92503-5310
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 877-313-0874
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3380 LA SIERRA AVE 104-232
-----------------------------------------------------
City | RIVERSIDE
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92503-5271
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 877-313-0874
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO/PRESIDENT
-----------------------------------------------------
Name | SALVADOR V. RAMIREZ
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 951-324-1311
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 164X00000X
-----------------------------------------------------
Taxonomy Name | Licensed Vocational Nurse
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------