Provider Demographics
NPI:1891432688
Name:LA HEART CARE HOME HEALTH, INC.
Entity Type:Organization
Organization Name:LA HEART CARE HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LORNA
Authorized Official - Middle Name:
Authorized Official - Last Name:LACEBAL
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:626-545-2288
Mailing Address - Street 1:7220 ROSEMEAD BLVD STE 212
Mailing Address - Street 2:
Mailing Address - City:SAN GABRIEL
Mailing Address - State:CA
Mailing Address - Zip Code:91775-1382
Mailing Address - Country:US
Mailing Address - Phone:626-545-2288
Mailing Address - Fax:626-788-8710
Practice Address - Street 1:7220 ROSEMEAD BLVD STE 212
Practice Address - Street 2:
Practice Address - City:SAN GABRIEL
Practice Address - State:CA
Practice Address - Zip Code:91775-1382
Practice Address - Country:US
Practice Address - Phone:626-545-2288
Practice Address - Fax:626-788-8710
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-13
Last Update Date:2022-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health