Provider Demographics
NPI:1184002008
Name:LOCAL IN HOME CARE SOLUTIONS LLC.
Entity Type:Organization
Organization Name:LOCAL IN HOME CARE SOLUTIONS LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:JUSTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:CUMBO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-702-3582
Mailing Address - Street 1:8335 SE 162ND PL
Mailing Address - Street 2:
Mailing Address - City:SUMMERFIELD
Mailing Address - State:FL
Mailing Address - Zip Code:34491-7007
Mailing Address - Country:US
Mailing Address - Phone:352-702-3582
Mailing Address - Fax:352-504-0884
Practice Address - Street 1:8335 SE 162ND PL
Practice Address - Street 2:
Practice Address - City:SUMMERFIELD
Practice Address - State:FL
Practice Address - Zip Code:34491-7007
Practice Address - Country:US
Practice Address - Phone:352-702-3582
Practice Address - Fax:352-504-0884
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-12
Last Update Date:2015-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL233749253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care