Provider Demographics
NPI:1346955978
Name:LOTUS CARE AT HOME PALM BEACH, LLC
Entity Type:Organization
Organization Name:LOTUS CARE AT HOME PALM BEACH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:VEGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-806-8611
Mailing Address - Street 1:1650 S DIXIE HWY STE 405
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33432-7462
Mailing Address - Country:US
Mailing Address - Phone:786-806-8611
Mailing Address - Fax:305-503-8225
Practice Address - Street 1:LOTUS CARE AT HOME PALM BEACH, LLC
Practice Address - Street 2:1650 S DIXIE HWY STE 405
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33432-3343
Practice Address - Country:US
Practice Address - Phone:786-806-8611
Practice Address - Fax:305-503-8225
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-18
Last Update Date:2023-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty