MEDICARE: LOVING ARMS ASSISTED LIVING LLC

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	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1588593933
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOVING ARMS ASSISTED LIVING LLC

Provider Business Mailing Address
First Line	:	801 COUNTRY PLACE DR APT 2286
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77079-8513
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4468 E LAKE CIR S
Second Line	:
City	:	CENTENNIAL
State	:	CO
Zip	:	80121-3314
Country	:	US
Telephone Number	:	832-672-2929
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	NADESHDA PONCE
Credential	:
Telephone Number	:	832-672-2929

Provider Enumeration Date	:	05/13/2026
Last Update Date	:	05/13/2026

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