Provider Demographics
NPI:1073778528
Name:LKI GROUP, LLC
Entity Type:Organization
Organization Name:LKI GROUP, LLC
Other - Org Name:HELPSOURCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:
Authorized Official - Last Name:KATZ
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:215-886-2102
Mailing Address - Street 1:261 OLD YORK RD
Mailing Address - Street 2:SUITE 824
Mailing Address - City:JENKINTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19046-3706
Mailing Address - Country:US
Mailing Address - Phone:215-886-2102
Mailing Address - Fax:215-886-8029
Practice Address - Street 1:261 OLD YORK RD
Practice Address - Street 2:SUITE 824
Practice Address - City:JENKINTOWN
Practice Address - State:PA
Practice Address - Zip Code:19046-3706
Practice Address - Country:US
Practice Address - Phone:215-886-2102
Practice Address - Fax:215-886-8029
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-24
Last Update Date:2008-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1000077200008Medicaid