MEDICARE: LOVING HEARTS HELPING HANDS

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	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1669980223
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOVING HEARTS HELPING HANDS

Provider Business Mailing Address
First Line	:	2910 W GILMORE AVE
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89032-0415
Country	:	US
Telephone Number	:	702-673-8209
Fax Number	:

Provider Business Practice Location Address
First Line	:	2910 W GILMORE AVE
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89032-0415
Country	:	US
Telephone Number	:	702-673-8209
Fax Number	:	702-673-8209

Authorized Official
Title or Position	:	CHIEF OPERATING OFFICER
Name	:	BRITTANY JACKSON
Credential	:
Telephone Number	:	702-673-8209

Provider Enumeration Date	:	01/17/2018
Last Update Date	:	01/17/2018

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