Provider Demographics
NPI:1235529090
Name:LUCIENNE HOME CARE, INC.
Entity Type:Organization
Organization Name:LUCIENNE HOME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AMOS
Authorized Official - Middle Name:
Authorized Official - Last Name:BIEN AIME
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-635-5156
Mailing Address - Street 1:399 NW 2ND AVE STE 218
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33432-3848
Mailing Address - Country:US
Mailing Address - Phone:954-635-5156
Mailing Address - Fax:
Practice Address - Street 1:399 NW 2ND AVE STE 218
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33432-3848
Practice Address - Country:US
Practice Address - Phone:954-635-5156
Practice Address - Fax:954-639-5976
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-02
Last Update Date:2023-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health