Provider Demographics
NPI:1205512084
Name:NEXT DOOR HOME CARE LLC
Entity type:Organization
Organization Name:NEXT DOOR HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:LYDIA
Authorized Official - Middle Name:KABALIISA
Authorized Official - Last Name:MIREMBE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:747-266-4152
Mailing Address - Street 1:10880 WILSHIRE BLVD STE 1102
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90024-4101
Mailing Address - Country:US
Mailing Address - Phone:310-601-6128
Mailing Address - Fax:
Practice Address - Street 1:10880 WILSHIRE BLVD STE 1102
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90024-4101
Practice Address - Country:US
Practice Address - Phone:310-601-6128
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-26
Last Update Date:2024-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health