Provider Demographics
NPI:1710517313
Name:LYDIA'S BEST HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:LYDIA'S BEST HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CINSERE
Authorized Official - Middle Name:ARTICE
Authorized Official - Last Name:HAWKINS-EASLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-402-2796
Mailing Address - Street 1:7601 MORGAN AVE N
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55444-2427
Mailing Address - Country:US
Mailing Address - Phone:651-706-5949
Mailing Address - Fax:
Practice Address - Street 1:7601 MORGAN AVE N
Practice Address - Street 2:
Practice Address - City:BROOKLYN PARK
Practice Address - State:MN
Practice Address - Zip Code:55444-2427
Practice Address - Country:US
Practice Address - Phone:651-706-5949
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-22
Last Update Date:2021-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health