Provider Demographics
NPI:1710396858
Name:LMS HOME HEALTH AGENCY, INCORPORATION
Entity type:Organization
Organization Name:LMS HOME HEALTH AGENCY, INCORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONTACT PERSON
Authorized Official - Prefix:MS
Authorized Official - First Name:CARMEN
Authorized Official - Middle Name:
Authorized Official - Last Name:CORDERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-828-5658
Mailing Address - Street 1:18570 SHERMAN WAY
Mailing Address - Street 2:# L
Mailing Address - City:RESEDA
Mailing Address - State:CA
Mailing Address - Zip Code:91335-4140
Mailing Address - Country:US
Mailing Address - Phone:818-788-2404
Mailing Address - Fax:
Practice Address - Street 1:18570 SHERMAN WAY
Practice Address - Street 2:# L
Practice Address - City:RESEDA
Practice Address - State:CA
Practice Address - Zip Code:91335-4140
Practice Address - Country:US
Practice Address - Phone:818-788-2404
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-02
Last Update Date:2014-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health