Provider Demographics
NPI:1376422394
Name:MONROE HOME CARE LLC
Entity type:Organization
Organization Name:MONROE HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LA'SHANNON
Authorized Official - Middle Name:UNIQUE
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-995-1471
Mailing Address - Street 1:3112 N 54TH ST # A
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68104-3561
Mailing Address - Country:US
Mailing Address - Phone:402-995-1471
Mailing Address - Fax:
Practice Address - Street 1:3112 N 54TH ST # A
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68104-3561
Practice Address - Country:US
Practice Address - Phone:402-995-1471
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-02
Last Update Date:2025-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health