Provider Demographics
NPI:1225413081
Name:L&A HOME, LLC
Entity Type:Organization
Organization Name:L&A HOME, LLC
Other - Org Name:ADULT FAMILY CARE HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LEVIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SAINT-JUSTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-906-9855
Mailing Address - Street 1:14600 77TH PL N
Mailing Address - Street 2:
Mailing Address - City:LOXAHATCHEE
Mailing Address - State:FL
Mailing Address - Zip Code:33470-4425
Mailing Address - Country:US
Mailing Address - Phone:561-906-9855
Mailing Address - Fax:
Practice Address - Street 1:14600 77TH PL N
Practice Address - Street 2:
Practice Address - City:LOXAHATCHEE
Practice Address - State:FL
Practice Address - Zip Code:33470-4425
Practice Address - Country:US
Practice Address - Phone:561-906-9855
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-22
Last Update Date:2015-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL6906792311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home