Provider Demographics
NPI:1457192270
Name:LANCASTER HOME CARE SERVICES LLC
Entity type:Organization
Organization Name:LANCASTER HOME CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:LANCASTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-496-2689
Mailing Address - Street 1:PO BOX 352764
Mailing Address - Street 2:
Mailing Address - City:PALM COAST
Mailing Address - State:FL
Mailing Address - Zip Code:32135-2764
Mailing Address - Country:US
Mailing Address - Phone:732-496-2689
Mailing Address - Fax:
Practice Address - Street 1:4750 E MOODY BLVD STE 224
Practice Address - Street 2:
Practice Address - City:BUNNELL
Practice Address - State:FL
Practice Address - Zip Code:32110-7712
Practice Address - Country:US
Practice Address - Phone:386-241-6104
Practice Address - Fax:386-263-3573
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-05
Last Update Date:2024-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care