Provider Demographics
NPI:1164109831
Name:LUYO HOME CARE SERVICES CORP.,
Entity Type:Organization
Organization Name:LUYO HOME CARE SERVICES CORP.,
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MARTHA
Authorized Official - Middle Name:
Authorized Official - Last Name:LUYO
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:786-832-0558
Mailing Address - Street 1:5390 W 21ST CT APT 208
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33016-7040
Mailing Address - Country:US
Mailing Address - Phone:786-832-0558
Mailing Address - Fax:
Practice Address - Street 1:5390 W 21ST CT APT 208
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016-7040
Practice Address - Country:US
Practice Address - Phone:786-832-0558
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-03
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Multi-Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL113284700Medicaid