Provider Demographics
NPI:1073258711
Name:D-LAMB GATE HOME CARE LLC
Entity Type:Organization
Organization Name:D-LAMB GATE HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ CEO
Authorized Official - Prefix:
Authorized Official - First Name:EMIVBAGBAI
Authorized Official - Middle Name:CLEMENTINA
Authorized Official - Last Name:TSEDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-972-9022
Mailing Address - Street 1:770 LEE ST STE 104B
Mailing Address - Street 2:
Mailing Address - City:DES PLAINES
Mailing Address - State:IL
Mailing Address - Zip Code:60016-6458
Mailing Address - Country:US
Mailing Address - Phone:312-972-9022
Mailing Address - Fax:
Practice Address - Street 1:770 LEE ST STE 104B
Practice Address - Street 2:
Practice Address - City:DES PLAINES
Practice Address - State:IL
Practice Address - Zip Code:60016-6458
Practice Address - Country:US
Practice Address - Phone:312-972-9022
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-27
Last Update Date:2022-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL3002065OtherHOME SERVICE AGENCY