Provider Demographics
NPI:1164579793
Name:LANI'S CARE NETWORK, INC.
Entity Type:Organization
Organization Name:LANI'S CARE NETWORK, INC.
Other - Org Name:LCNI
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:B
Authorized Official - Last Name:GLASER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:719-488-3389
Mailing Address - Street 1:17420 WALDEN WAY
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80908-1325
Mailing Address - Country:US
Mailing Address - Phone:719-488-3389
Mailing Address - Fax:719-481-9015
Practice Address - Street 1:17420 WALDEN WAY
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80908-1325
Practice Address - Country:US
Practice Address - Phone:719-488-3389
Practice Address - Fax:719-481-9015
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO040590251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO19039271Medicaid
CO19039271Medicaid