Provider Demographics
NPI:1306690839
Name:LL HOME HEALTH & HOMEMAKER SERVICE
Entity type:Organization
Organization Name:LL HOME HEALTH & HOMEMAKER SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CAREGIVER/HOMEMAKER/SITTER
Authorized Official - Prefix:
Authorized Official - First Name:LATRONIA
Authorized Official - Middle Name:
Authorized Official - Last Name:LINDSAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-882-9064
Mailing Address - Street 1:2930 PANTHER PKWY APT 36A
Mailing Address - Street 2:
Mailing Address - City:SMITHS STATION
Mailing Address - State:AL
Mailing Address - Zip Code:36877-2560
Mailing Address - Country:US
Mailing Address - Phone:770-882-9064
Mailing Address - Fax:
Practice Address - Street 1:2930 PANTHER PKWY APT 36A
Practice Address - Street 2:
Practice Address - City:SMITHS STATION
Practice Address - State:AL
Practice Address - Zip Code:36877-2560
Practice Address - Country:US
Practice Address - Phone:770-882-9064
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-12
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty