MEDICARE: ALL LOVING HOME CARE SERVICES

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

General Provider Information

NPI Number	:	1508642430
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALL LOVING HOME CARE SERVICES

Provider Business Mailing Address
First Line	:	2000 S EASTERN AVE STE G
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89104-4100
Country	:	US
Telephone Number	:	702-331-6848
Fax Number	:	702-331-7198

Provider Business Practice Location Address
First Line	:	2000 S EASTERN AVE STE G
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89104-4100
Country	:	US
Telephone Number	:	702-331-6848
Fax Number	:	702-331-7198

Authorized Official
Title or Position	:	OWNER/OPERATOR
Name	:	MS. AMBER RODRIGUEZ
Credential	:
Telephone Number	:	702-331-6848

Provider Enumeration Date	:	09/06/2023
Last Update Date	:	09/06/2023

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