Provider Demographics
NPI:1013001072
Name:L & S HOME CARE INC
Entity Type:Organization
Organization Name:L & S HOME CARE INC
Other - Org Name:INTEGRATED HEALTH CARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ALEJANDRO
Authorized Official - Middle Name:
Authorized Official - Last Name:MENDIETA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-545-5600
Mailing Address - Street 1:7262 SW 48TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-5525
Mailing Address - Country:US
Mailing Address - Phone:305-545-5600
Mailing Address - Fax:786-268-1115
Practice Address - Street 1:7262 SW 48TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-5525
Practice Address - Country:US
Practice Address - Phone:305-545-5600
Practice Address - Fax:786-268-1115
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL108341Medicare ID - Type UnspecifiedHHA