Provider Demographics
NPI:1922265552
Name:LT HEALTH CARE, CORP.
Entity Type:Organization
Organization Name:LT HEALTH CARE, CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:LIZABETH
Authorized Official - Middle Name:C
Authorized Official - Last Name:CALVEIRO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:305-969-8938
Mailing Address - Street 1:12340 SW 132ND COURT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-6451
Mailing Address - Country:US
Mailing Address - Phone:305-969-8938
Mailing Address - Fax:305-969-0595
Practice Address - Street 1:12340 SW 132ND COURT
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-6451
Practice Address - Country:US
Practice Address - Phone:305-969-8938
Practice Address - Fax:305-969-0595
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-21
Last Update Date:2015-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL109514Medicare Oscar/Certification