Provider Demographics
NPI:1669288106
Name:LITURGY HOME CARE LLC
Entity type:Organization
Organization Name:LITURGY HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:OSAGIODUWA
Authorized Official - Middle Name:
Authorized Official - Last Name:IMASUEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-800-9509
Mailing Address - Street 1:6838 NOTTINGHAM LN
Mailing Address - Street 2:
Mailing Address - City:MCCORDSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46055-0077
Mailing Address - Country:US
Mailing Address - Phone:317-800-9509
Mailing Address - Fax:
Practice Address - Street 1:6838 NOTTINGHAM LN
Practice Address - Street 2:
Practice Address - City:MCCORDSVILLE
Practice Address - State:IN
Practice Address - Zip Code:46055-0077
Practice Address - Country:US
Practice Address - Phone:317-800-9509
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-09
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Single Specialty
No251E00000XAgenciesHome Health