Provider Demographics
NPI:1710571252
Name:LOTUS CARE AT HOME LLC
Entity Type:Organization
Organization Name:LOTUS CARE AT HOME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:VEGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-806-8611
Mailing Address - Street 1:15715 S DIXIE HWY STE 232
Mailing Address - Street 2:
Mailing Address - City:PALMETTO BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33157-1877
Mailing Address - Country:US
Mailing Address - Phone:786-806-8611
Mailing Address - Fax:305-503-8225
Practice Address - Street 1:15715 S DIXIE HWY STE 232
Practice Address - Street 2:
Practice Address - City:PALMETTO BAY
Practice Address - State:FL
Practice Address - Zip Code:33157-1877
Practice Address - Country:US
Practice Address - Phone:786-806-8611
Practice Address - Fax:305-503-8225
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-25
Last Update Date:2021-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care