Provider Demographics
NPI:1629544515
Name:R&M NEW VISION HOME CARE, LLC
Entity Type:Organization
Organization Name:R&M NEW VISION HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERTA
Authorized Official - Middle Name:
Authorized Official - Last Name:LUBRUN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:863-612-6611
Mailing Address - Street 1:6731 JOHNSON ST APT 210
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33024-5752
Mailing Address - Country:US
Mailing Address - Phone:863-612-6611
Mailing Address - Fax:
Practice Address - Street 1:6731 JOHNSON ST APT 210
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33024-5752
Practice Address - Country:US
Practice Address - Phone:863-612-6611
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-17
Last Update Date:2018-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care