# LV PERSONAL CARE, LTD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285106492
- **Authorized official:** MR. JOHN JONATHAN CRUZ (ADMINISTRATOR)
- **Authorized official phone:** (702) 405-6811

## Contact information

- **Practice address:** 4550 W OAKEY BLVD STE 101A, LAS VEGAS, NV 89102-1506
- **Practice address phone:** (702) 518-2312
- **Practice address fax:** (702) 514-4189
- **Mailing address:** 4550 W OAKEY BLVD STE 101A, LAS VEGAS, NV 89102-1506
- **Mailing address phone:** (702) 518-2312
- **Mailing address fax:** (702) 514-4189

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 385H00000X | Respite Care | — | NULL | — |
| 385HR2065X | Child Physical Disabilities Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 12/28/2018
- **Last updated:** 11/04/2021