Provider Demographics
NPI:1538749049
Name:LIVING GREAT HOME CARE SERVICES LLC
Entity type:Organization
Organization Name:LIVING GREAT HOME CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:TAMARA
Authorized Official - Middle Name:M
Authorized Official - Last Name:HAMILTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-358-1660
Mailing Address - Street 1:7136 S MILITARY TRL STE 10
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33463-7812
Mailing Address - Country:US
Mailing Address - Phone:561-577-8131
Mailing Address - Fax:
Practice Address - Street 1:7136 S MILITARY TRL STE 10
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33463-7812
Practice Address - Country:US
Practice Address - Phone:561-577-8131
Practice Address - Fax:561-577-8134
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-09
Last Update Date:2021-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care