MEDICARE: LIEBELOVE CARE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1326801903
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIEBELOVE CARE INC

Provider Business Mailing Address
First Line	:	20110 COHASSET ST # 22
Second Line	:
City	:	WINNETKA
State	:	CA
Zip	:	91306-2959
Country	:	US
Telephone Number	:	323-839-2004
Fax Number	:

Provider Business Practice Location Address
First Line	:	6500 QUARTZ AVE
Second Line	:
City	:	WOODLAND HILLS
State	:	CA
Zip	:	91367-2826
Country	:	US
Telephone Number	:	747-888-9984
Fax Number	:	747-888-9984

Authorized Official
Title or Position	:	CEO/ADMINISTRATOR
Name	:	MS. GALINA MELKONYAN
Credential	:
Telephone Number	:	323-839-2004

Provider Enumeration Date	:	02/05/2024
Last Update Date	:	02/05/2024

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Directions to “LIEBELOVE CARE INC ” Practice Location

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