MEDICARE: LOVING CARE ADHC LIMITED

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	261QA0600X	Adult Day Care Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1346455961
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOVING CARE ADHC LIMITED

Provider Business Mailing Address
First Line	:	2565 CAMINO DEL RIO S STE 201
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92108-3789
Country	:	US
Telephone Number	:	619-718-9777
Fax Number	:	619-718-9772

Provider Business Practice Location Address
First Line	:	2565 CAMINO DEL RIO S STE 201
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92108-3789
Country	:	US
Telephone Number	:	619-718-9777
Fax Number	:	619-718-9772

Authorized Official
Title or Position	:	CFO
Name	:	RIMMA ZUBKIS
Credential	:
Telephone Number	:	619-718-9777

Provider Enumeration Date	:	05/14/2007
Last Update Date	:	08/22/2020

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Directions to “LOVING CARE ADHC LIMITED ” Practice Location

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