Provider Demographics
NPI:1811360068
Name:LI HOME CARE SERVICES INC
Entity type:Organization
Organization Name:LI HOME CARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:OLGA
Authorized Official - Middle Name:
Authorized Official - Last Name:LOZANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-342-5500
Mailing Address - Street 1:209 GLEN COVE RD
Mailing Address - Street 2:SUITE 321
Mailing Address - City:CARLE PLACE
Mailing Address - State:NY
Mailing Address - Zip Code:11514-1226
Mailing Address - Country:US
Mailing Address - Phone:516-342-5500
Mailing Address - Fax:
Practice Address - Street 1:209 GLEN COVE RD
Practice Address - Street 2:SUITE 321
Practice Address - City:CARLE PLACE
Practice Address - State:NY
Practice Address - Zip Code:11514-1226
Practice Address - Country:US
Practice Address - Phone:516-342-5500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-10
Last Update Date:2015-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health