Provider Demographics
NPI:1215777164
Name:LANE HOMECARE LLC
Entity type:Organization
Organization Name:LANE HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:DUNPHY
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:541-650-9812
Mailing Address - Street 1:36041 HIGHWAY 58
Mailing Address - Street 2:
Mailing Address - City:PLEASANT HILL
Mailing Address - State:OR
Mailing Address - Zip Code:97455-9652
Mailing Address - Country:US
Mailing Address - Phone:541-600-9812
Mailing Address - Fax:
Practice Address - Street 1:THE DISTRICT, OFFICE 218
Practice Address - Street 2:590 PEARL ST.
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401
Practice Address - Country:US
Practice Address - Phone:541-650-2361
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-29
Last Update Date:2024-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care