Provider Demographics
NPI:1225999659
Name:LAMELOT HOME CARE LLC
Entity type:Organization
Organization Name:LAMELOT HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:GABRIEL
Authorized Official - Middle Name:BAHATI
Authorized Official - Last Name:SEMABWA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-750-0039
Mailing Address - Street 1:2240 N FEDERAL DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65202-5650
Mailing Address - Country:US
Mailing Address - Phone:210-750-0039
Mailing Address - Fax:
Practice Address - Street 1:2240 N FEDERAL DR
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65202-5650
Practice Address - Country:US
Practice Address - Phone:210-750-0039
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-24
Last Update Date:2025-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No251E00000XAgenciesHome Health