MEDICARE: LOVING CARE PERSONAL CARE HOME

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
2	261QA0600X	Adult Day Care Clinic/Center	050664	TX

General Provider Information

NPI Number	:	1750548301
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOVING CARE PERSONAL CARE HOME

Provider Business Mailing Address
First Line	:	3910 NORTH FWY # L
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77022-4302
Country	:	US
Telephone Number	:	713-691-7437
Fax Number	:	713-699-1572

Provider Business Practice Location Address
First Line	:	3910 NORTH FWY # L
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77022-4302
Country	:	US
Telephone Number	:	713-691-7437
Fax Number	:	713-699-1572

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MR. TORRON MINGO
Credential	:	M.S.,
Telephone Number	:	713-691-7437

Provider Enumeration Date	:	05/21/2008
Last Update Date	:	10/27/2023

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Directions to “LOVING CARE PERSONAL CARE HOME ” Practice Location

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