Provider Demographics
NPI:1235586306
Name:1ST LOVE & LIFE CAREGIVERS, LLC
Entity Type:Organization
Organization Name:1ST LOVE & LIFE CAREGIVERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:YACQUELINE
Authorized Official - Middle Name:E
Authorized Official - Last Name:VILLAFRANCA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-463-7779
Mailing Address - Street 1:2770 S MARYLAND PKWY
Mailing Address - Street 2:418B
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89109-1554
Mailing Address - Country:US
Mailing Address - Phone:702-462-7779
Mailing Address - Fax:702-778-4226
Practice Address - Street 1:2770 S MARYLAND PKWY
Practice Address - Street 2:418B
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89109-1554
Practice Address - Country:US
Practice Address - Phone:702-462-7779
Practice Address - Fax:702-778-4226
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-19
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVNVS8543PCS253Z00000X
253Z00000X, 372500000X, 372600000X, 3747A0650X, 3747P1801X, 376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive Care
No372500000XNursing Service Related ProvidersChore ProviderGroup - Multi-Specialty
No372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty
No3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty