Lovely Home Care, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

LOVELY HOME CARE, LLC

Practice address

3045 Mica CT
Superior, CO 80027-4629

Phone

(720) 933-0288

Fax

(303) 499-1888

NPI assigned

Jul 14, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Phuoc Pham

Title

Manager

Phone

(720) 220-6500

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1626220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626220800000",
    "number": "1053983411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3045 MICA CT",
            "city": "SUPERIOR",
            "state": "CO",
            "postal_code": "800274629",
            "telephone_number": "720-933-0288",
            "fax_number": "303-499-1888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3045 MICA CT",
            "city": "SUPERIOR",
            "state": "CO",
            "postal_code": "800274629",
            "telephone_number": "720-933-0288",
            "fax_number": "303-499-1888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOVELY HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-14",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "PHUOC",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "720-220-6500"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06779573",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.