Healthcare Provider Details

I. General information

NPI: 1326624404
Provider Name (Legal Business Name): LOVING CARE ADULT DAY HEALTH CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2021
Last Update Date: 03/20/2021
Certification Date: 03/20/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5725 E TROPICANA AVE STE 113
LAS VEGAS NV
89122-6797
US

IV. Provider business mailing address

5725 E TROPICANA AVE STE 113
LAS VEGAS NV
89122-6797
US

V. Phone/Fax

Practice location:
  • Phone: 702-433-3128
  • Fax: 702-433-3126
Mailing address:
  • Phone: 702-433-3128
  • Fax: 702-433-3126

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ALAN B JAUREGUI
Title or Position: ADMINISTRATOR
Credential:
Phone: 702-266-7277