Provider Demographics
NPI:1275544314
Name:LOTUS HOME HEALTH CARE INC
Entity Type:Organization
Organization Name:LOTUS HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO PRES
Authorized Official - Prefix:MRS
Authorized Official - First Name:LOMTA
Authorized Official - Middle Name:I
Authorized Official - Last Name:GAYOMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:213-383-3277
Mailing Address - Street 1:3699 WILSHIRE BLVD
Mailing Address - Street 2:747
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90010
Mailing Address - Country:US
Mailing Address - Phone:213-383-4679
Mailing Address - Fax:213-483-3277
Practice Address - Street 1:3699 WILSHIRE BLVD
Practice Address - Street 2:747
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90010
Practice Address - Country:US
Practice Address - Phone:213-378-3277
Practice Address - Fax:213-383-3679
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-11
Last Update Date:2008-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
557499Medicare ID - Type Unspecified