Provider Demographics
NPI:1912718594
Name:LYMPH AT HOME, LLC
Entity type:Organization
Organization Name:LYMPH AT HOME, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PEI PEI
Authorized Official - Middle Name:HUGHES
Authorized Official - Last Name:ROSSEWEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-476-1002
Mailing Address - Street 1:1652 PARKSIDE DR
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33756-3681
Mailing Address - Country:US
Mailing Address - Phone:813-476-1002
Mailing Address - Fax:727-255-5539
Practice Address - Street 1:1652 PARKSIDE DR
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33756-3681
Practice Address - Country:US
Practice Address - Phone:813-476-1002
Practice Address - Fax:727-258-3728
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-14
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty