Provider Demographics
NPI: | 1902218910 |
---|---|
Name: | LM HOME HEALTH CARE SERVICES, INC. |
Entity type: | Organization |
Organization Name: | LM HOME HEALTH CARE SERVICES, INC. |
Other - Org Name: | <UNAVAIL> |
Other - Org Type: | |
Authorized Official - Title/Position: | PRESIDENT/CEO |
Authorized Official - Prefix: | MISS |
Authorized Official - First Name: | LUIZA |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | MALOYAN |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | RN |
Authorized Official - Phone: | 818-669-6026 |
Mailing Address - Street 1: | 17777 VENTURA BLVD |
Mailing Address - Street 2: | SUITE 240 |
Mailing Address - City: | ENCINO |
Mailing Address - State: | CA |
Mailing Address - Zip Code: | 91316-3736 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 818-654-8355 |
Mailing Address - Fax: | 818-387-6210 |
Practice Address - Street 1: | 17777 VENTURA BLVD |
Practice Address - Street 2: | SUITE 240 |
Practice Address - City: | ENCINO |
Practice Address - State: | CA |
Practice Address - Zip Code: | 91316-3736 |
Practice Address - Country: | US |
Practice Address - Phone: | 818-654-8355 |
Practice Address - Fax: | 818-387-6210 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2014-05-25 |
Last Update Date: | 2014-05-25 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
CA | 800217 | 251E00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 251E00000X | Agencies | Home Health |