MEDICARE: LOVING CARE CORPORATION

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	253Z00000X	In Home Supportive Care Agency	7305PCS-0	NV

General Provider Information

NPI Number	:	1508112160
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOVING CARE CORPORATION

Provider Business Mailing Address
First Line	:	1500 E TROPICANA AVE
Second Line	:	SUITE 155
City	:	LAS VEGAS
State	:	NV
Zip	:	89119
Country	:	US
Telephone Number	:	702-450-1704
Fax Number	:	702-650-0201

Provider Business Practice Location Address
First Line	:	1500 E TROPICANA AVE
Second Line	:	SUITE 155
City	:	LAS VEGAS
State	:	NV
Zip	:	89119
Country	:	US
Telephone Number	:	702-450-1704
Fax Number	:	702-650-0201

Authorized Official
Title or Position	:	ADMINISTRATOR/OWNER
Name	:	SPEEDY ARRE CACANINDIN
Credential	:	REGISTERED NURSE
Telephone Number	:	702-450-1704

Provider Enumeration Date	:	07/31/2012
Last Update Date	:	03/17/2026

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Directions to “LOVING CARE CORPORATION ” Practice Location

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