Provider Demographics
NPI:1336576594
Name:LG CARE PLUS, LLC
Entity Type:Organization
Organization Name:LG CARE PLUS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LOIDA
Authorized Official - Middle Name:E
Authorized Official - Last Name:GOMEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-952-0316
Mailing Address - Street 1:12000 FORD RD
Mailing Address - Street 2:SUITE A443
Mailing Address - City:FARMERS BRANCH
Mailing Address - State:TX
Mailing Address - Zip Code:75234-7249
Mailing Address - Country:US
Mailing Address - Phone:214-952-0316
Mailing Address - Fax:972-798-8456
Practice Address - Street 1:12000 FORD RD
Practice Address - Street 2:SUITE A443
Practice Address - City:FARMERS BRANCH
Practice Address - State:TX
Practice Address - Zip Code:75234-7249
Practice Address - Country:US
Practice Address - Phone:214-952-0316
Practice Address - Fax:972-798-8456
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-02
Last Update Date:2016-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health