Provider Demographics
NPI:1356879886
Name:LAVISH HOME HEALTHCARE LLC
Entity type:Organization
Organization Name:LAVISH HOME HEALTHCARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTARTOR
Authorized Official - Prefix:
Authorized Official - First Name:HAMZA
Authorized Official - Middle Name:A
Authorized Official - Last Name:ALI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-615-1326
Mailing Address - Street 1:4837 COLUMBIA RD APT 202
Mailing Address - Street 2:
Mailing Address - City:NORTH OLMSTED
Mailing Address - State:OH
Mailing Address - Zip Code:44070-3625
Mailing Address - Country:US
Mailing Address - Phone:614-615-1326
Mailing Address - Fax:614-615-1326
Practice Address - Street 1:4837 COLUMBIA RD APT 202
Practice Address - Street 2:
Practice Address - City:NORTH OLMSTED
Practice Address - State:OH
Practice Address - Zip Code:44070-3625
Practice Address - Country:US
Practice Address - Phone:614-615-1326
Practice Address - Fax:614-615-1326
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health