Provider Demographics
NPI:1760188692
Name:LEO HOME HEALTH AGENCY LLC
Entity Type:Organization
Organization Name:LEO HOME HEALTH AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AMBR
Authorized Official - Prefix:
Authorized Official - First Name:JEAN
Authorized Official - Middle Name:ROMAIN
Authorized Official - Last Name:LEONARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-326-0992
Mailing Address - Street 1:20250 NE 15TH CT STE 20190-7
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33179-2711
Mailing Address - Country:US
Mailing Address - Phone:786-326-0992
Mailing Address - Fax:
Practice Address - Street 1:20250 NE 15TH CT STE 20190-7
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33179-2711
Practice Address - Country:US
Practice Address - Phone:786-538-2824
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-02
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care