Provider Demographics
NPI:1003096751
Name:LFA HEALTH CARE SERVICES, INC.
Entity Type:Organization
Organization Name:LFA HEALTH CARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:BURDITT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-500-4171
Mailing Address - Street 1:10707 CORPORATE DR
Mailing Address - Street 2:156
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77477-4095
Mailing Address - Country:US
Mailing Address - Phone:832-500-4171
Mailing Address - Fax:832-500-4173
Practice Address - Street 1:10707 CORPORATE DR
Practice Address - Street 2:156
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477-4095
Practice Address - Country:US
Practice Address - Phone:832-500-4171
Practice Address - Fax:832-500-4173
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-10
Last Update Date:2016-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X
TX011806251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health