Love and Divine Home Care

Primary specialty

Alzheimer Center (Dementia Center)Taxonomy code 311500000X

License

347005677 Issued in CA

Legal business name

LOVE AND DIVINE HOME CARE

Practice address

303 Oak Canyon Way
Folsom, CA 95630-1855

Phone

(916) 932-4883

NPI assigned

Apr 6, 2017

Last updated

Apr 6, 2017By the provider in NPPES

Organization subpart

Yes

Parent organization

ABUNDANT LIVING HOME CARE LLCAs reported in NPPES

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

Authorized official

Name

Mrs. Lisa M Ivancich

Title

Administrator

Phone

(916) 945-0241

Specialties & licenses 1

Addresses

Other names 1

• A loving and Divine Home Care Other name

Part of

Love and Divine Home Care

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

{
    "created_epoch": "1491436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491436800000",
    "number": "1093248973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 OAK CANYON WAY",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956301855",
            "telephone_number": "916-932-4883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 OAK CANYON WAY",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956301855",
            "telephone_number": "916-932-4883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOVE AND DIVINE HOME CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ABUNDANT LIVING HOME CARE LLC",
        "enumeration_date": "2017-04-06",
        "last_updated": "2017-04-06",
        "status": "A",
        "authorized_official_last_name": "IVANCICH",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "916-945-0241",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "CA",
            "license": "347005677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A loving and Divine Home Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Alexander Hugh Low, M.D.
• Matthew Scott Low
• Asia Lowden

• Alzheimer Center (Dementia Center) in Folsom, CA
• Providers in Folsom, CA by specialty
• Alzheimer Center (Dementia Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2017; 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.