Provider Demographics
NPI:1114570827
Name:LEMARKA,LLC
Entity Type:Organization
Organization Name:LEMARKA,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARJORIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MINOTT
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:407-953-3549
Mailing Address - Street 1:210 MINNESOTA WOODS LN
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32824-8683
Mailing Address - Country:US
Mailing Address - Phone:407-237-9893
Mailing Address - Fax:
Practice Address - Street 1:210 MINNESOTA WOODS LN
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32824-8683
Practice Address - Country:US
Practice Address - Phone:407-237-9893
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-22
Last Update Date:2019-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care HomeGroup - Single Specialty
No376K00000XNursing Service Related ProvidersNurse's AideGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL741096Other741096