MEDICARE: LOVING SOUL HOME HEALTH, INC.

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	:	1306659065
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOVING SOUL HOME HEALTH, INC.

Provider Business Mailing Address
First Line	:	501 S RANCHO DR STE H57
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89106-4836
Country	:	US
Telephone Number	:	800-603-9636
Fax Number	:	800-603-9636

Provider Business Practice Location Address
First Line	:	501 S RANCHO DR STE H57
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89106-4836
Country	:	US
Telephone Number	:	800-603-9636
Fax Number	:	800-603-9636

Authorized Official
Title or Position	:	CEO
Name	:	GRIGOR LABAYAN
Credential	:
Telephone Number	:	800-603-9636

Provider Enumeration Date	:	01/28/2025
Last Update Date	:	01/28/2025

Similar Medicare Providers

1457078438 — LOVING SOUL HOME HEALTH, INC.
Practice Location Address:

501 S RANCHO DR STE H57
LAS VEGAS, NV
89106-4836

Practice Phone: 800-603-9636
Practice Fax: 800-603-9636

1902597164 — REBECCA S BRYANT LE
Practice Location Address:

501 S RANCHO DR STE H51
LAS VEGAS, NV
89106-4836

Practice Phone: 701-461-1879
Practice Fax:

1326638727 — NORMA MAZZOLA
Practice Location Address:

6021 OCEANSIDE WAY
LAS VEGAS, NV
89108-4836

Practice Phone: 702-371-5621
Practice Fax:

1649947243 — MICHAEL AFFINITO
Practice Location Address:

2038 PALM ST SPC 410
LAS VEGAS, NV
89104-4836

Practice Phone: 702-505-0081
Practice Fax:

1205649720 — GLORIA ILAR
Practice Location Address:

4836 BLUE ROSE ST
NORTH LAS VEGAS, NV
89081-2673

Practice Phone: 702-426-7299
Practice Fax:

1568899482 — LA FRONTERA CENTER, INC. DBA LA FRONTERA NEW MEXICO, INC.
Practice Location Address:

2941 LOS AMIGOS CT
LAS CRUCES, NM
88011-4836

Practice Phone: 575-647-2800
Practice Fax:

Directions to “LOVING SOUL HOME HEALTH, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.