MEDICARE: LOVING CARE PHC LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251E00000X	Home Health Agency
2	385H00000X	Respite Care
3	385HR2060X	Child Intellectual and/or Developmental Disabilities Respite Care
4	261QP2300X	Primary Care Clinic/Center
5	3747P1801X	Personal Care Attendant
6	385HR2065X	Child Physical Disabilities Respite Care
7	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1922803238
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOVING CARE PHC LLC

Provider Business Mailing Address
First Line	:	4309 N 22ND ST
Second Line	:
City	:	MCALLEN
State	:	TX
Zip	:	78504-4167
Country	:	US
Telephone Number	:	956-322-5050
Fax Number	:	956-322-5444

Provider Business Practice Location Address
First Line	:	4309 N 22ND ST
Second Line	:
City	:	MCALLEN
State	:	TX
Zip	:	78504-4167
Country	:	US
Telephone Number	:	956-429-9532
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	YULAIN NICOLE GONZALEZ
Credential	:
Telephone Number	:	956-935-7473

Provider Enumeration Date	:	02/19/2025
Last Update Date	:	12/01/2025

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