Provider Demographics
NPI: | 1427946110 |
---|---|
Name: | LUXE FAMILY CARE LLC |
Entity type: | Organization |
Organization Name: | LUXE FAMILY CARE LLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | ADMINISTRATOR |
Authorized Official - Prefix: | |
Authorized Official - First Name: | CHANTE |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | BARRETT |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 267-701-0366 |
Mailing Address - Street 1: | 115 MONTGOMERY AVE |
Mailing Address - Street 2: | |
Mailing Address - City: | BALA CYNWYD |
Mailing Address - State: | PA |
Mailing Address - Zip Code: | 19004-2855 |
Mailing Address - Country: | US |
Mailing Address - Phone: | |
Mailing Address - Fax: | |
Practice Address - Street 1: | 115 MONTGOMERY AVE |
Practice Address - Street 2: | |
Practice Address - City: | BALA CYNWYD |
Practice Address - State: | PA |
Practice Address - Zip Code: | 19004-2855 |
Practice Address - Country: | US |
Practice Address - Phone: | 267-701-0366 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2025-06-24 |
Last Update Date: | 2025-07-15 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 253Z00000X | Agencies | In Home Supportive Care | ||
No | 3747P1801X | Nursing Service Related Providers | Technician | Personal Care Attendant | |
Yes | 251E00000X | Agencies | Home Health | Group - Multi-Specialty |