Provider Demographics
NPI:1083395859
Name:LADY T HOME CARE LLC.
Entity Type:Organization
Organization Name:LADY T HOME CARE LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HHA
Authorized Official - Prefix:
Authorized Official - First Name:THERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHATMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-680-2865
Mailing Address - Street 1:26851 ANDOVER ST
Mailing Address - Street 2:
Mailing Address - City:INKSTER
Mailing Address - State:MI
Mailing Address - Zip Code:48141-3144
Mailing Address - Country:US
Mailing Address - Phone:734-680-2865
Mailing Address - Fax:
Practice Address - Street 1:26851 ANDOVER ST
Practice Address - Street 2:
Practice Address - City:INKSTER
Practice Address - State:MI
Practice Address - Zip Code:48141-3144
Practice Address - Country:US
Practice Address - Phone:734-680-2865
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-26
Last Update Date:2023-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health