Provider Demographics
NPI:1992313886
Name:LA PAZ HOMECARE LLC
Entity type:Organization
Organization Name:LA PAZ HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:LA PAZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-229-4533
Mailing Address - Street 1:6974 SPRINGWOOD DR
Mailing Address - Street 2:
Mailing Address - City:DOUGLASVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30135-1543
Mailing Address - Country:US
Mailing Address - Phone:770-854-0833
Mailing Address - Fax:
Practice Address - Street 1:6974 SPRINGWOOD DR
Practice Address - Street 2:
Practice Address - City:DOUGLASVILLE
Practice Address - State:GA
Practice Address - Zip Code:30135-1543
Practice Address - Country:US
Practice Address - Phone:770-854-0833
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-16
Last Update Date:2021-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251J00000XAgenciesNursing CareGroup - Multi-Specialty
No163WG0600XNursing Service ProvidersRegistered NurseGerontologyGroup - Multi-Specialty
No163WW0000XNursing Service ProvidersRegistered NurseWound CareGroup - Multi-Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty