Provider Demographics
NPI:1588224901
Name:LEMON HEALTH AT HOME, LLC
Entity Type:Organization
Organization Name:LEMON HEALTH AT HOME, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:SHENEKIA
Authorized Official - Middle Name:
Authorized Official - Last Name:LOUD
Authorized Official - Suffix:
Authorized Official - Credentials:FA-C
Authorized Official - Phone:917-960-3376
Mailing Address - Street 1:4628 VERNON BLVD.,
Mailing Address - Street 2:SUITE 531
Mailing Address - City:LONG ISLAND CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11101
Mailing Address - Country:US
Mailing Address - Phone:917-960-3376
Mailing Address - Fax:833-931-6353
Practice Address - Street 1:4628 VERNON BLVD.,
Practice Address - Street 2:SUITE 531
Practice Address - City:LONG ISLAND CITY
Practice Address - State:NY
Practice Address - Zip Code:11101
Practice Address - Country:US
Practice Address - Phone:917-960-3376
Practice Address - Fax:833-931-6353
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-18
Last Update Date:2019-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health