MEDICARE: CAREGIVING EXCELLENCE, LLC DBA ACTI-KARE RESPONSIVE IN-HOME CARE

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	:	1063233997
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAREGIVING EXCELLENCE, LLC DBA ACTI-KARE RESPONSIVE IN-HOME CARE

Provider Business Mailing Address
First Line	:	10241 ANOKA AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89144-6868
Country	:	US
Telephone Number	:	708-314-5832
Fax Number	:

Provider Business Practice Location Address
First Line	:	10241 ANOKA AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89144-6868
Country	:	US
Telephone Number	:	708-314-5832
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	TALIA LAMBARKI
Credential	:
Telephone Number	:	708-314-5832

Provider Enumeration Date	:	10/23/2024
Last Update Date	:	10/23/2024

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