Loyal Source Government Services LLC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

Legal business name

LOYAL SOURCE GOVERNMENT SERVICES LLC

Practice address

2800 N Tenaya Way Ste 201
Las Vegas, NV 89128-1100

Phone

(725) 231-0171

NPI assigned

Feb 28, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Rosalina Lucia Labadessa

Title

Compliance & Contracts Manager

Phone

(407) 605-6427

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1677542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677542400000",
    "number": "1558060525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12612 CHALLENGER PKWY STE 365",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328262784",
            "telephone_number": "407-605-6427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 N TENAYA WAY STE 201",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891281100",
            "telephone_number": "725-231-0171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOYAL SOURCE GOVERNMENT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-28",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A",
        "authorized_official_last_name": "LABADESSA",
        "authorized_official_first_name": "ROSALINA",
        "authorized_official_middle_name": "LUCIA",
        "authorized_official_title_or_position": "COMPLIANCE & CONTRACTS MANAGER",
        "authorized_official_telephone_number": "407-605-6427",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Janine Loya
• Esteban Loya
• Irving A. Loya
• Roxana Loya
• Valeria Loya
• Melvin Loyal
• Loyalty Hospice Care LLC
• Akeem Loyd
• Bonnie Loyd
• Hope Keshia Loyd

• Adult Health Nurse Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Adult Health Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; 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.