MEDICARE: LOVING CARE REFERRALS, LTD.

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	7305PCS-0	NV

General Provider Information

NPI Number	:	1508112160
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOVING CARE REFERRALS, LTD.

Provider Business Mailing Address
First Line	:	2008 SANTIAGO ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89104-2918
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2008 SANTIAGO ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89104-2918
Country	:	US
Telephone Number	:	702-450-1704
Fax Number	:	702-450-1704

Authorized Official
Title or Position	:	OWNER
Name	:	MR. JOSEPH JOHN NOTARO
Credential	:
Telephone Number	:	702-450-1704

Provider Enumeration Date	:	07/31/2012
Last Update Date	:	07/31/2012

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