MEDICARE: NURSING LOVE & CARE FACILITIES

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	310400000X	Assisted Living Facility	AL6054	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1740483668
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NURSING LOVE & CARE FACILITIES

Provider Business Mailing Address
First Line	:	1045 WEST 23RD ST
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012
Country	:	US
Telephone Number	:	305-883-1915
Fax Number	:	305-883-2080

Provider Business Practice Location Address
First Line	:	1045 WEST 23RD ST
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012
Country	:	US
Telephone Number	:	305-883-1915
Fax Number	:	305-883-2080

Authorized Official
Title or Position	:	V/P
Name	:	ELIA MURIAS
Credential	:
Telephone Number	:	305-322-1788

Provider Enumeration Date	:	06/07/2007
Last Update Date	:	07/24/2008

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