MEDICARE: LOVE & CARE ASSISTANCE LLC

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	3747P1801X	Personal Care Attendant
2	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1215658828
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOVE & CARE ASSISTANCE LLC

Provider Business Mailing Address
First Line	:	10660 VISTA LOMAS DR
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79935-3609
Country	:	US
Telephone Number	:	915-304-9102
Fax Number	:

Provider Business Practice Location Address
First Line	:	10660 VISTA LOMAS DR
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79935-3609
Country	:	US
Telephone Number	:	915-304-9102
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PRESIDENT/ADMINISTRATOR
Name	:	ALMA ACOSTA
Credential	:
Telephone Number	:	915-346-5195

Provider Enumeration Date	:	09/12/2022
Last Update Date	:	09/12/2022

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Directions to “LOVE & CARE ASSISTANCE LLC ” Practice Location

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