Provider Demographics
NPI:1780097931
Name:3LMC PREMIER HEALTHCARE LLC
Entity type:Organization
Organization Name:3LMC PREMIER HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER & TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:RICO
Authorized Official - Middle Name:BADIANG
Authorized Official - Last Name:LUMANTAS
Authorized Official - Suffix:
Authorized Official - Credentials:TAX PROFESSIONAL
Authorized Official - Phone:310-745-8498
Mailing Address - Street 1:500 E E ST STE 221
Mailing Address - Street 2:
Mailing Address - City:ONTARIO
Mailing Address - State:CA
Mailing Address - Zip Code:91764-4276
Mailing Address - Country:US
Mailing Address - Phone:310-745-8498
Mailing Address - Fax:888-448-8896
Practice Address - Street 1:500 E E ST STE 221
Practice Address - Street 2:
Practice Address - City:ONTARIO
Practice Address - State:CA
Practice Address - Zip Code:91764-4276
Practice Address - Country:US
Practice Address - Phone:310-745-8498
Practice Address - Fax:888-448-8896
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-05
Last Update Date:2014-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health