Provider Demographics
NPI:1275250896
Name:LEBARTY IN-HOME CARE
Entity Type:Organization
Organization Name:LEBARTY IN-HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NOSA
Authorized Official - Middle Name:
Authorized Official - Last Name:AIGBE LEBARTY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:518-951-0740
Mailing Address - Street 1:1662 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12205-4059
Mailing Address - Country:US
Mailing Address - Phone:518-951-0740
Mailing Address - Fax:607-800-4134
Practice Address - Street 1:1662 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12205-4059
Practice Address - Country:US
Practice Address - Phone:518-951-0740
Practice Address - Fax:607-800-4134
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-25
Last Update Date:2022-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care