Provider Demographics
NPI:1881167732
Name:LUBA'S HOMECARE INC.
Entity type:Organization
Organization Name:LUBA'S HOMECARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LIUBOV
Authorized Official - Middle Name:
Authorized Official - Last Name:BRIZHATIUK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-607-0040
Mailing Address - Street 1:220 E 57TH ST APT 2J
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-2691
Mailing Address - Country:US
Mailing Address - Phone:646-882-9990
Mailing Address - Fax:855-525-2020
Practice Address - Street 1:220 E 57TH ST APT 2J
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-2691
Practice Address - Country:US
Practice Address - Phone:646-882-9990
Practice Address - Fax:855-525-2020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-03
Last Update Date:2022-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251F00000XAgenciesHome Infusion