Provider Demographics
NPI:1750450920
Name:LMR INDIANA HOME HEALTH INC.
Entity Type:Organization
Organization Name:LMR INDIANA HOME HEALTH INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:LOLITA
Authorized Official - Middle Name:M
Authorized Official - Last Name:RANCHERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:219-736-2211
Mailing Address - Street 1:7101 BROADWAY
Mailing Address - Street 2:SUITE 10
Mailing Address - City:MERRILLVILLE BRA
Mailing Address - State:IN
Mailing Address - Zip Code:46410-3577
Mailing Address - Country:US
Mailing Address - Phone:219-736-2211
Mailing Address - Fax:
Practice Address - Street 1:7101 BROADWAY
Practice Address - Street 2:SUITE 10
Practice Address - City:MERRILLVILLE BRA
Practice Address - State:IN
Practice Address - Zip Code:46410-3577
Practice Address - Country:US
Practice Address - Phone:219-736-2211
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health