Lovelife Medical Supply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

NV20161129474 Issued in NV

Legal business name

LOVELIFE MEDICAL SUPPLY

Practice address

6330 McLeod Dr Ste 3
Las Vegas, NV 89120-4431

Phone

(702) 754-3484

Fax

(702) 629-7952

NPI assigned

Mar 2, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Clevonne Funches

Title

Director

Phone

(702) 754-3484

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1456876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456876800000",
    "number": "1205296365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6330 MCLEOD DR STE 3",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891204431",
            "telephone_number": "702-754-3484",
            "fax_number": "702-629-7952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6330 MCLEOD DR STE 3",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891204431",
            "telephone_number": "702-754-3484",
            "fax_number": "702-629-7952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOVELIFE MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-02",
        "last_updated": "2016-03-02",
        "status": "A",
        "authorized_official_last_name": "FUNCHES",
        "authorized_official_first_name": "CLEVONNE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "702-754-3484"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NV",
            "license": "NV20161129474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jackson Loveland
• Shaina Lei-Ann Loveland
• Lovelife Consultation LLC
• Lovelife Family Services L.L.C
• Lovelife Family Services L.L.C
• Lovelivelife Behavioral Health LLC
• Idamarie Lovely
• Leo'Sha Lovely
• Ria Agbannawag Loveranes
• Latonya Lovett-Reese

• Durable Medical Equipment & Medical Supplies in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Durable Medical Equipment & Medical Supplies in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.