Provider Demographics
NPI:1912790064
Name:RESTACARE AND SERVICES
Entity type:Organization
Organization Name:RESTACARE AND SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LOYSSE
Authorized Official - Middle Name:LEONIS
Authorized Official - Last Name:LUMA
Authorized Official - Suffix:
Authorized Official - Credentials:CNA, HOMEMAKER, HHA
Authorized Official - Phone:321-420-2381
Mailing Address - Street 1:1070 MONTGOMERY RD # 2034
Mailing Address - Street 2:
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32714-7420
Mailing Address - Country:US
Mailing Address - Phone:321-420-2381
Mailing Address - Fax:
Practice Address - Street 1:850 CONCOURSE PWKY S.
Practice Address - Street 2:
Practice Address - City:MAITLAND
Practice Address - State:FL
Practice Address - Zip Code:32751
Practice Address - Country:US
Practice Address - Phone:321-420-2381
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-22
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty