Provider Demographics
NPI:1083021174
Name:LWF HOME CARE INC.
Entity Type:Organization
Organization Name:LWF HOME CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL & CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:LEONARD
Authorized Official - Middle Name:
Authorized Official - Last Name:FRIE
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:916-630-7779
Mailing Address - Street 1:5716 LONETREE BLVD
Mailing Address - Street 2:
Mailing Address - City:ROCKLIN
Mailing Address - State:CA
Mailing Address - Zip Code:95765-3734
Mailing Address - Country:US
Mailing Address - Phone:916-630-7779
Mailing Address - Fax:916-435-4312
Practice Address - Street 1:950 S BASCOM AVE
Practice Address - Street 2:SUITE 2007
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95128-3536
Practice Address - Country:US
Practice Address - Phone:408-358-7779
Practice Address - Fax:408-358-7665
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-21
Last Update Date:2014-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health