Provider Demographics
NPI:1114086105
Name:LUCAS HEALTH PARTNERS, LLC
Entity Type:Organization
Organization Name:LUCAS HEALTH PARTNERS, LLC
Other - Org Name:MORNINGSIDE ADULT DAY HEALTH CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ILYA
Authorized Official - Middle Name:
Authorized Official - Last Name:VASKELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-412-0200
Mailing Address - Street 1:3216 W. MANCHESTER BLVD.
Mailing Address - Street 2:
Mailing Address - City:INGLEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90305
Mailing Address - Country:US
Mailing Address - Phone:310-412-0200
Mailing Address - Fax:310-412-0600
Practice Address - Street 1:3216 W. MANCHESTER BLVD.
Practice Address - Street 2:
Practice Address - City:INGLEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90305
Practice Address - Country:US
Practice Address - Phone:310-412-0200
Practice Address - Fax:310-412-0600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-06
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care