Provider Demographics
NPI:1568182384
Name:LOTUS CARE AT HOME BROWARD, LLC
Entity Type:Organization
Organization Name:LOTUS CARE AT HOME BROWARD, 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 1:2950 W CYPRESS CREEK RD STE 207
Mailing Address - Street 2:
Mailing Address - City:FT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33309-1795
Mailing Address - Country:US
Mailing Address - Phone:786-806-8611
Mailing Address - Fax:305-503-8225
Practice Address - Street 1:2950 W CYPRESS CREEK RD STE 207
Practice Address - Street 2:
Practice Address - City:FT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33309-1795
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:2022-08-31
Last Update Date:2022-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care