Provider Demographics
NPI:1366033318
Name:L&G ENTERPRISES USA LLC
Entity Type:Organization
Organization Name:L&G ENTERPRISES USA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LARISA
Authorized Official - Middle Name:
Authorized Official - Last Name:YUSHUVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-577-1110
Mailing Address - Street 1:116-16 QUEENS BLVD
Mailing Address - Street 2:SUITE 240
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375
Mailing Address - Country:US
Mailing Address - Phone:646-577-1110
Mailing Address - Fax:929-205-0688
Practice Address - Street 1:116-16 QUEENS BLVD
Practice Address - Street 2:SUITE 240
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375
Practice Address - Country:US
Practice Address - Phone:646-577-1110
Practice Address - Fax:929-205-0688
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-02
Last Update Date:2021-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health