Provider Demographics
NPI:1205370467
Name:LUZ HOME HEALTH CARE INC.
Entity Type:Organization
Organization Name:LUZ HOME HEALTH CARE INC.
Other - Org Name:LUZ HOME HEALTH CARE INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LUZ
Authorized Official - Middle Name:
Authorized Official - Last Name:AVALOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-636-3932
Mailing Address - Street 1:2701 E GAGE AVE STE 203
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON PARK
Mailing Address - State:CA
Mailing Address - Zip Code:90255-5491
Mailing Address - Country:US
Mailing Address - Phone:323-636-3932
Mailing Address - Fax:
Practice Address - Street 1:2701 E GAGE AVE STE 203
Practice Address - Street 2:
Practice Address - City:HUNTINGTON PARK
Practice Address - State:CA
Practice Address - Zip Code:90255-5491
Practice Address - Country:US
Practice Address - Phone:323-636-3932
Practice Address - Fax:323-553-9106
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-07
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health