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General NPI Number Information
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NPI Number | 1639839897
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Entity Type | Organization
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Legal Business Name | LOVING ANGELS HOME HEALTH CARE
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Dates
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Enumeration Date | 12/29/2021
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Last Update Date | 11/13/2025
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Provider Practice Location Address
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Address Line | 116 S CATALINA AVE STE 119
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City | REDONDO BEACH
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State | CA
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Zip | 90277-3388
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Country | US
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Telephone | 310-928-9422
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Fax | 310-388-1249
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Provider Business Mailing Address
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Address Line | 116 S CATALINA AVE STE 119
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City | REDONDO BEACH
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State | CA
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Zip | 90277-3388
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MAKSIM LABUTIN
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Credential |
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Telephone | 818-983-1763
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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