Provider Demographics
NPI:1649738527
Name:LEAN ON US HOME CARE, LLC
Entity type:Organization
Organization Name:LEAN ON US HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DOLORES
Authorized Official - Middle Name:
Authorized Official - Last Name:CENICCOLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-676-3173
Mailing Address - Street 1:129 W SHEPARD AVE
Mailing Address - Street 2:
Mailing Address - City:HAMDEN
Mailing Address - State:CT
Mailing Address - Zip Code:06514-1121
Mailing Address - Country:US
Mailing Address - Phone:203-676-3173
Mailing Address - Fax:203-691-7091
Practice Address - Street 1:129 W SHEPARD AVE
Practice Address - Street 2:
Practice Address - City:HAMDEN
Practice Address - State:CT
Practice Address - Zip Code:06514-1121
Practice Address - Country:US
Practice Address - Phone:203-676-3173
Practice Address - Fax:203-691-7091
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-09
Last Update Date:2019-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care