Provider Demographics
NPI:1932541760
Name:LAMERSON LANDY CARE, INC.
Entity Type:Organization
Organization Name:LAMERSON LANDY CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LINDSEY
Authorized Official - Middle Name:
Authorized Official - Last Name:LAMERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:209-357-9525
Mailing Address - Street 1:PO BOX 55
Mailing Address - Street 2:
Mailing Address - City:ATWATER
Mailing Address - State:CA
Mailing Address - Zip Code:95301-0055
Mailing Address - Country:US
Mailing Address - Phone:209-761-2478
Mailing Address - Fax:
Practice Address - Street 1:1976 CORDELIA CT
Practice Address - Street 2:
Practice Address - City:ATWATER
Practice Address - State:CA
Practice Address - Zip Code:95301-5302
Practice Address - Country:US
Practice Address - Phone:209-761-2478
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-22
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No385H00000XRespite Care FacilityRespite Care