Provider Demographics
NPI:1073275970
Name:LAURA'S LIGHT HHC/TRANSPORTATION LLC
Entity Type:Organization
Organization Name:LAURA'S LIGHT HHC/TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:FELICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ULMER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:949-414-6628
Mailing Address - Street 1:400 HAYES
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92620-3747
Mailing Address - Country:US
Mailing Address - Phone:657-210-0465
Mailing Address - Fax:
Practice Address - Street 1:400 HAYES
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92620-3747
Practice Address - Country:US
Practice Address - Phone:657-210-0465
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-07
Last Update Date:2021-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)