Organization Active NPI

Loving Care Medical Group LLC

  • Pediatrics Physician
  • Euless, TX
National Provider Identifier
1316699085
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
LOVING CARE MEDICAL GROUP LLC
Practice address
2275 Westpark CT Ste 100
Euless, TX 76040-3992
Phone
(817) 933-2870
Fax
(817) 394-4345
NPI assigned
Jan 24, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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

Authorized official

Name
Ana I Valdes Roque, MDNPI 1477786465
Title
MD, Owner
Phone
(817) 471-2171

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

2275 Westpark CT Ste 100
Euless, TX 76040-3992

Mailing address

2275 Westpark CT Ste 100
Euless, TX 76040-3992
Phone (817) 933-2870

Other identifiers 1

IdentifierTypeStateIssuer
1477786465OtherTXNPI

Other names 1

  • LOVING CARE MEDICAL GROUP LLC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL APIS Direct

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2057241Loving Care Group, LLC2275 Westpark CT Suite 101, Euless, TX 76040Certificate of waiverNov 4, 2026
45D2257708Loving Care Medical Group, LLC2275 Westpark CT Suite 101, Euless, TX 76040Certificate of waiverApr 7, 2028

National Provider Directory

National Provider Directory

Locations

2275 Westpark Ct
Ste 100
Euless, TX 76040
Phone (817) 283-1205

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1642982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643068800000",
    "number": "1316699085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2275 WESTPARK CT STE 100",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760403992",
            "telephone_number": "817-933-2870",
            "fax_number": "817-394-4345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2275 WESTPARK CT STE 100",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760403992",
            "telephone_number": "817-933-2870",
            "fax_number": "817-394-4345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOVING CARE MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-24",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A",
        "authorized_official_last_name": "VALDES ROQUE",
        "authorized_official_first_name": "ANA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "MD, OWNER",
        "authorized_official_telephone_number": "817-471-2171",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1477786465",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "APIS",
            "affiliation": "N",
            "endpointDescription": "INTERNAL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2275 Westpark Ct Ste 100",
            "city": "Euless",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760403992",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "LOVING CARE MEDICAL GROUP LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LOVING CARE MEDICAL GROUP LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Euless, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.