Healthcare Provider Details

I. General information

NPI: 1750746731
Provider Name (Legal Business Name): LOVING CARING ANGELS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2015
Last Update Date: 12/17/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1421 N JONES BLVD # 239
LAS VEGAS NV
89108-1610
US

IV. Provider business mailing address

1421 N JONES BLVD # 239
LAS VEGAS NV
89108-1610
US

V. Phone/Fax

Practice location:
  • Phone: 702-979-8567
  • Fax:
Mailing address:
  • Phone: 702-979-8567
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VIII. Authorized Official

Name: SHELIA REED
Title or Position: CEO
Credential:
Phone: 702-979-8567