Provider Demographics
NPI:1225777147
Name:THE LOTUS WORKING GROUP LLC
Entity Type:Organization
Organization Name:THE LOTUS WORKING GROUP LLC
Other - Org Name:HOMEWELL CARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CRYSTAL
Authorized Official - Middle Name:
Authorized Official - Last Name:KEYWORTH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-621-6701
Mailing Address - Street 1:7700 CONGRESS AVE STE 3203
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33487-1357
Mailing Address - Country:US
Mailing Address - Phone:561-465-0134
Mailing Address - Fax:
Practice Address - Street 1:7700 CONGRESS AVE STE 3203
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33487-1357
Practice Address - Country:US
Practice Address - Phone:561-465-0134
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-31
Last Update Date:2022-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care