Provider Demographics
NPI:1306049218
Name:L&L HOME HEALTHCARE SERVICES, INC.
Entity type:Organization
Organization Name:L&L HOME HEALTHCARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARILYN
Authorized Official - Middle Name:LOPEZ
Authorized Official - Last Name:DOLAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-447-5999
Mailing Address - Street 1:4795 HOLT BLVD STE 202
Mailing Address - Street 2:
Mailing Address - City:MONTCLAIR
Mailing Address - State:CA
Mailing Address - Zip Code:91763-4714
Mailing Address - Country:US
Mailing Address - Phone:909-447-5999
Mailing Address - Fax:909-447-5998
Practice Address - Street 1:4795 HOLT BLVD STE 202
Practice Address - Street 2:
Practice Address - City:MONTCLAIR
Practice Address - State:CA
Practice Address - Zip Code:91763-4714
Practice Address - Country:US
Practice Address - Phone:909-447-5999
Practice Address - Fax:909-447-5998
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-07
Last Update Date:2025-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health