MEDICARE: LOUR 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	:	1902774318
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOUR CARE SERVICES

Provider Business Mailing Address
First Line	:	8124 WILLMANN ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89178-2463
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8124 WILLMANN ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89178-2463
Country	:	US
Telephone Number	:	702-858-7146
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	GRACE MARIANNE DYKHENG
Credential	:	RN
Telephone Number	:	702-858-7146

Provider Enumeration Date	:	10/27/2025
Last Update Date	:	10/27/2025

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Directions to “LOUR CARE SERVICES ” Practice Location

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