Provider Demographics
NPI:1649565714
Name:LINDO'S HOUSE OF CARE INC
Entity Type:Organization
Organization Name:LINDO'S HOUSE OF CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MAE
Authorized Official - Middle Name:
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:NURSE
Authorized Official - Phone:954-584-2124
Mailing Address - Street 1:6821 SW 8TH CT
Mailing Address - Street 2:
Mailing Address - City:NORTH LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33068-2516
Mailing Address - Country:US
Mailing Address - Phone:954-970-9915
Mailing Address - Fax:
Practice Address - Street 1:6821 SW 8TH CT
Practice Address - Street 2:
Practice Address - City:NORTH LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33068-2516
Practice Address - Country:US
Practice Address - Phone:954-970-9915
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-16
Last Update Date:2011-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL11966310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAL11966OtherAGENCY FOR HEALTH CARE ADMINISTRATION