Provider Demographics
NPI:1073981890
Name:LRJK, LLC
Entity Type:Organization
Organization Name:LRJK, LLC
Other - Org Name:HOME HELPERS AND DIRECT LINK OFFICE 58824
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:LINETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:RIVERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-342-7404
Mailing Address - Street 1:7987 NW 199TH TER
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33015-6391
Mailing Address - Country:US
Mailing Address - Phone:305-342-7404
Mailing Address - Fax:
Practice Address - Street 1:7987 NW 199TH TER
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33015-6391
Practice Address - Country:US
Practice Address - Phone:305-342-7404
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-10
Last Update Date:2015-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care