Provider Demographics
NPI:1992508162
Name:MEADOLARK HOME HEALTH
Entity type:Organization
Organization Name:MEADOLARK HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NAOMI
Authorized Official - Middle Name:
Authorized Official - Last Name:LEGATE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:831-454-6977
Mailing Address - Street 1:625 S 6TH ST STE 402
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89101-6919
Mailing Address - Country:US
Mailing Address - Phone:831-454-6977
Mailing Address - Fax:
Practice Address - Street 1:625 S 6TH ST STE 402
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89101-6919
Practice Address - Country:US
Practice Address - Phone:831-454-6977
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-31
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health