Healthcare Provider Details

I. General information

NPI: 1629984521
Provider Name (Legal Business Name): PRECIOUS JURIANNA BANOS-LOVING
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1132 N 55TH ST
LINCOLN NE
68504-3240
US

IV. Provider business mailing address

1132 N 55TH ST
LINCOLN NE
68504-3240
US

V. Phone/Fax

Practice location:
  • Phone: 314-339-3858
  • Fax:
Mailing address:
  • Phone: 314-339-3858
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: