Provider Demographics
NPI:1124810874
Name:LASSISSI HOME CARE LLC
Entity type:Organization
Organization Name:LASSISSI HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MOHAMMED
Authorized Official - Middle Name:HALID
Authorized Official - Last Name:LASSISSI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-714-1606
Mailing Address - Street 1:9164 TAYLOR ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68134-4059
Mailing Address - Country:US
Mailing Address - Phone:402-714-1606
Mailing Address - Fax:
Practice Address - Street 1:9164 TAYLOR ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68134-4059
Practice Address - Country:US
Practice Address - Phone:402-714-1606
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-20
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care