Provider Demographics
NPI:1861268435
Name:LONEYMAECARES LLC
Entity type:Organization
Organization Name:LONEYMAECARES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUZETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:INGRAM-STOKES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-851-2559
Mailing Address - Street 1:1601 26TH ST S
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33712-2626
Mailing Address - Country:US
Mailing Address - Phone:727-325-7102
Mailing Address - Fax:
Practice Address - Street 1:1601 26TH ST S
Practice Address - Street 2:
Practice Address - City:SAINT PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33712-2626
Practice Address - Country:US
Practice Address - Phone:727-325-7102
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-27
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty