Provider Demographics
NPI:1003435173
Name:LOTUS HEALING CENTERS, INC.
Entity Type:Organization
Organization Name:LOTUS HEALING CENTERS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:ROLAND
Authorized Official - Middle Name:
Authorized Official - Last Name:SAMAROO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-341-3119
Mailing Address - Street 1:1030 SPRING VILLAS POINT
Mailing Address - Street 2:STE. 3000
Mailing Address - City:WINTER SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32708-5242
Mailing Address - Country:US
Mailing Address - Phone:407-272-4516
Mailing Address - Fax:
Practice Address - Street 1:1030 SPRING VILLAS PT
Practice Address - Street 2:
Practice Address - City:WINTER SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32708-5242
Practice Address - Country:US
Practice Address - Phone:407-341-3119
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-09
Last Update Date:2022-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral Health