Provider Demographics
| NPI: | 1174677488 |
|---|---|
| Name: | LALA HEALTHCARE SOLUTIONS LLC |
| Entity type: | Organization |
| Organization Name: | LALA HEALTHCARE SOLUTIONS LLC |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | CEO |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | CHANTAL |
| Authorized Official - Middle Name: | MICHELLE |
| Authorized Official - Last Name: | BUTLER |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | NURSE |
| Authorized Official - Phone: | 214-212-0068 |
| Mailing Address - Street 1: | 1341 W MOCKINGBIRD LN STE 214W |
| Mailing Address - Street 2: | |
| Mailing Address - City: | DALLAS |
| Mailing Address - State: | TX |
| Mailing Address - Zip Code: | 75247-6913 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 214-310-0610 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 1341 W MOCKINGBIRD LN STE 214W |
| Practice Address - Street 2: | |
| Practice Address - City: | DALLAS |
| Practice Address - State: | TX |
| Practice Address - Zip Code: | 75247-6913 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 214-310-0610 |
| Practice Address - Fax: | 866-740-7952 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2007-01-23 |
| Last Update Date: | 2025-03-06 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 251E00000X | Agencies | Home Health | ||
| No | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Group - Multi-Specialty | |
| No | 2251P0200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Pediatrics | Group - Multi-Specialty |
| No | 225200000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapy Assistant | Group - Multi-Specialty | |
| No | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Group - Multi-Specialty | |
| No | 225XP0200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Pediatrics | Group - Multi-Specialty |
| No | 2355S0801X | Speech, Language and Hearing Service Providers | Specialist/Technologist | Speech-Language Assistant | Group - Multi-Specialty |
| No | 235Z00000X | Speech, Language and Hearing Service Providers | Speech-Language Pathologist | Group - Multi-Specialty | |
| No | 251J00000X | Agencies | Nursing Care | Group - Multi-Specialty | |
| No | 253Z00000X | Agencies | In Home Supportive Care | ||
| No | 261QH0700X | Ambulatory Health Care Facilities | Clinic/Center | Hearing and Speech | |
| No | 261QP2000X | Ambulatory Health Care Facilities | Clinic/Center | Physical Therapy | |
| No | 261QR0400X | Ambulatory Health Care Facilities | Clinic/Center | Rehabilitation | |
| No | 261QX0100X | Ambulatory Health Care Facilities | Clinic/Center | Occupational Medicine | |
| No | 224Z00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapy Assistant | Group - Multi-Specialty |
Provider Identifiers
| State | Identifier ID | ID Type | Issuer |
|---|---|---|---|
| TX | 1174677488 | Medicaid | |
| TX | 251E00000X | Other | HOME HEALTH AGENCY |
| TX | 251J00000X | Medicaid | |
| TX | 3747P1801X | Other | PAS AGENCY |
