Provider Demographics
NPI:1821375908
Name:LADYBUGS HOME CARE SERVICES LLC
Entity Type:Organization
Organization Name:LADYBUGS HOME CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:IN HOME SUPPORTIVE CARE/ C.N.A
Authorized Official - Prefix:
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:MAY
Authorized Official - Last Name:DANIEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:920-946-1035
Mailing Address - Street 1:6996 EASTWOOD TRL
Mailing Address - Street 2:
Mailing Address - City:WEST BEND
Mailing Address - State:WI
Mailing Address - Zip Code:53090-8914
Mailing Address - Country:US
Mailing Address - Phone:920-946-1035
Mailing Address - Fax:
Practice Address - Street 1:6996 EASTWOOD TRL
Practice Address - Street 2:
Practice Address - City:WEST BEND
Practice Address - State:WI
Practice Address - Zip Code:53090-8914
Practice Address - Country:US
Practice Address - Phone:920-946-1035
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-03
Last Update Date:2011-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WINA187722253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care