Provider Demographics
NPI:1184046302
Name:LBL HOME CARE, INC.
Entity type:Organization
Organization Name:LBL HOME CARE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:
Authorized Official - Last Name:JAMESON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-940-0400
Mailing Address - Street 1:4930 N HOLLAND SYLVANIA RD
Mailing Address - Street 2:SUITE E
Mailing Address - City:SYLVANIA
Mailing Address - State:OH
Mailing Address - Zip Code:43560-2178
Mailing Address - Country:US
Mailing Address - Phone:419-940-0400
Mailing Address - Fax:419-940-0401
Practice Address - Street 1:4930 N HOLLAND SYLVANIA RD
Practice Address - Street 2:SUITE E
Practice Address - City:SYLVANIA
Practice Address - State:OH
Practice Address - Zip Code:43560-2178
Practice Address - Country:US
Practice Address - Phone:419-940-0400
Practice Address - Fax:419-940-0401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-07
Last Update Date:2014-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health