MEDICARE: CARING PROFESSIONALS LLC

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	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1922544964
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARING PROFESSIONALS LLC

Provider Business Mailing Address
First Line	:	10501 W GOWAN RD STE 170
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89129-6603
Country	:	US
Telephone Number	:	702-485-5562
Fax Number	:	702-852-0409

Provider Business Practice Location Address
First Line	:	10501 W GOWAN RD STE 170
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89129-6603
Country	:	US
Telephone Number	:	702-485-5562
Fax Number	:	702-852-0409

Authorized Official
Title or Position	:	OWNER
Name	:	NONA LORISTO BAUTISTA
Credential	:
Telephone Number	:	702-542-5286

Provider Enumeration Date	:	01/15/2017
Last Update Date	:	09/02/2020

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Directions to “CARING PROFESSIONALS LLC ” Practice Location

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