Provider Demographics
NPI:1063820447
Name:LINA'S HOME CARE LLC
Entity Type:Organization
Organization Name:LINA'S HOME CARE LLC
Other - Org Name:LINA'S HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SUPERVISIOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:BARAJAS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:414-539-3552
Mailing Address - Street 1:6917 W OKLAHOMA AVE
Mailing Address - Street 2:STE 2
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53219-2973
Mailing Address - Country:US
Mailing Address - Phone:414-539-3552
Mailing Address - Fax:414-539-4062
Practice Address - Street 1:6917 W OKLAHOMA AVE
Practice Address - Street 2:STE 2
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53219-2973
Practice Address - Country:US
Practice Address - Phone:414-539-3552
Practice Address - Fax:414-539-4062
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-29
Last Update Date:2014-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health