Provider Demographics
NPI:1659098697
Name:LLS HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:LLS HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:LEKITA
Authorized Official - Middle Name:
Authorized Official - Last Name:NANCE SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:216-347-7322
Mailing Address - Street 1:2000 LEE ROAD STE 215
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44118-3605
Mailing Address - Country:US
Mailing Address - Phone:216-541-1992
Mailing Address - Fax:
Practice Address - Street 1:2000 LEE ROAD STE 215
Practice Address - Street 2:
Practice Address - City:CLEVELAND HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44118
Practice Address - Country:US
Practice Address - Phone:216-541-1992
Practice Address - Fax:216-510-3499
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-20
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty