Provider Demographics
NPI:1225789563
Name:LAMOUR HOME CARE LLC
Entity Type:Organization
Organization Name:LAMOUR HOME CARE LLC
Other - Org Name:L'AMOUR HOME CARE LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMIN/DIR
Authorized Official - Prefix:
Authorized Official - First Name:KENNETREIUS
Authorized Official - Middle Name:
Authorized Official - Last Name:RUSSELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:470-655-9710
Mailing Address - Street 1:6006 APPLE GROVE RD
Mailing Address - Street 2:
Mailing Address - City:BUFORD
Mailing Address - State:GA
Mailing Address - Zip Code:30519-3416
Mailing Address - Country:US
Mailing Address - Phone:470-655-9710
Mailing Address - Fax:
Practice Address - Street 1:1630 PEACHTREE INDUSTRIAL BLVD APT 1322
Practice Address - Street 2:
Practice Address - City:SUWANEE
Practice Address - State:GA
Practice Address - Zip Code:30024-5580
Practice Address - Country:US
Practice Address - Phone:470-704-9795
Practice Address - Fax:470-704-9042
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-18
Last Update Date:2023-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health