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 1:10200 INDEPENDENCE PKWY APT 1106
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75025-8219
Mailing Address - Country:US
Mailing Address - Phone:214-212-0068
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:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care
No261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX251E00000XOtherHOME HEALTH AGENCY
TX1174677488Medicaid
TX251J00000XMedicaid
TX3747P1801XOtherPAS AGENCY