Provider Demographics
NPI:1730302290
Name:L&L STAFFING AND HOME CARE SERVICES, INC.
Entity type:Organization
Organization Name:L&L STAFFING AND HOME CARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF NURSING
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:EILYUK
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:201-567-3373
Mailing Address - Street 1:40 N VAN BRUNT ST
Mailing Address - Street 2:SUITE #24
Mailing Address - City:ENGLEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07631-2740
Mailing Address - Country:US
Mailing Address - Phone:201-567-3373
Mailing Address - Fax:201-567-6680
Practice Address - Street 1:40 N VAN BRUNT ST
Practice Address - Street 2:SUITE #24
Practice Address - City:ENGLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07631-2740
Practice Address - Country:US
Practice Address - Phone:201-567-3373
Practice Address - Fax:201-567-6680
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-11
Last Update Date:2011-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0067900251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0100340Medicaid