Provider Demographics
NPI:1013408889
Name:LIVING HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:LIVING HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JEROME
Authorized Official - Middle Name:
Authorized Official - Last Name:LEONARDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-458-6822
Mailing Address - Street 1:8120 4TH ST N STE 2
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33702-3629
Mailing Address - Country:US
Mailing Address - Phone:727-458-6822
Mailing Address - Fax:
Practice Address - Street 1:8120 4TH ST N STE 2
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33702-3629
Practice Address - Country:US
Practice Address - Phone:727-458-6822
Practice Address - Fax:727-513-0607
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-28
Last Update Date:2018-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLL18000106214251E00000X
251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health