House Love LLC

Primary specialty

Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X

License

16AL548 Issued in MD

Legal business name

HOUSE LOVE LLC

Practice address

2804 Cricklewood Dr
Fort Washington, MD 20744-2411

Phone

(201) 265-0143

NPI assigned

Jan 5, 2012

Organization subpart

Yes

Parent organization

HOUSE OF LOVE, IIAs reported in NPPES

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

Authorized official

Name

Mrs. Agnes Regina Davis, CAREGIVER

Title

Owner and Manager

Phone

(202) 422-7733

Specialties & licenses 2

Addresses

Other names 1

• House of Love, I Former legal business name

Part of

House Love LLC

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

{
    "created_epoch": "1325721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325721600000",
    "number": "1194095224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9813 JACQUELINE DR",
            "city": "FORT WASHINGTON",
            "state": "MD",
            "postal_code": "207442526",
            "telephone_number": "301-248-6151",
            "fax_number": "240-244-1147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2804 CRICKLEWOOD DR",
            "city": "FORT WASHINGTON",
            "state": "MD",
            "postal_code": "207442411",
            "telephone_number": "201-265-0143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSE LOVE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOUSE OF LOVE, II",
        "enumeration_date": "2012-01-05",
        "last_updated": "2012-01-05",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "AGNES",
        "authorized_official_middle_name": "REGINA",
        "authorized_official_title_or_position": "OWNER AND MANAGER",
        "authorized_official_telephone_number": "202-422-7733",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CAREGIVER"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MD",
            "license": "16AL548",
            "primary": false
        },
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": "MD",
            "license": "16AL548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "House of Love, I",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Assisted Living Facility (Behavioral Disturbances) in Fort Washington, MD
• Providers in Fort Washington, MD by specialty
• Assisted Living Facility (Behavioral Disturbances) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2012; 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.