Provider Demographics
NPI:1821393489
Name:LAGUNA HOME HEALTH SERVICES, LLC
Entity Type:Organization
Organization Name:LAGUNA HOME HEALTH SERVICES, LLC
Other - Org Name:TEAM SELECT HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:LOVELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-382-8500
Mailing Address - Street 1:25411 CABOT RD STE 205
Mailing Address - Street 2:
Mailing Address - City:LAGUNA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92653-5525
Mailing Address - Country:US
Mailing Address - Phone:949-707-5023
Mailing Address - Fax:949-707-5023
Practice Address - Street 1:25411 CABOT RD STE 205
Practice Address - Street 2:
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653-5525
Practice Address - Country:US
Practice Address - Phone:949-707-5023
Practice Address - Fax:949-707-5023
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-12
Last Update Date:2021-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health