Provider Demographics
NPI:1730752916
Name:JUST LOVE CARE AND HOSPICE LLC
Entity type:Organization
Organization Name:JUST LOVE CARE AND HOSPICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/SECRETARY/ADM/DPCS
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:NATALIE
Authorized Official - Last Name:HENRY
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:909-699-0179
Mailing Address - Street 1:1421 E COOLEY DR STE 15
Mailing Address - Street 2:
Mailing Address - City:COLTON
Mailing Address - State:CA
Mailing Address - Zip Code:92324-3979
Mailing Address - Country:US
Mailing Address - Phone:909-699-0605
Mailing Address - Fax:909-699-0612
Practice Address - Street 1:1421 E COOLEY DR STE 15
Practice Address - Street 2:
Practice Address - City:COLTON
Practice Address - State:CA
Practice Address - Zip Code:92324-3979
Practice Address - Country:US
Practice Address - Phone:909-699-0605
Practice Address - Fax:909-699-0612
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-23
Last Update Date:2021-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based