Provider Demographics
NPI: | 1396161188 |
---|---|
Name: | LUDMILA KIEV UNITED HOME SERVICES |
Entity type: | Organization |
Organization Name: | LUDMILA KIEV UNITED HOME SERVICES |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | OWNER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | LUDMILA |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | KIEV UNITED HOME SERVICES |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 727-678-2761 |
Mailing Address - Street 1: | 1801 E LAKE RD APT 3A |
Mailing Address - Street 2: | |
Mailing Address - City: | PALM HARBOR |
Mailing Address - State: | FL |
Mailing Address - Zip Code: | 34685-2314 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 727-678-2761 |
Mailing Address - Fax: | 727-773-2626 |
Practice Address - Street 1: | 1801 E LAKE RD APT 3A |
Practice Address - Street 2: | |
Practice Address - City: | PALM HARBOR |
Practice Address - State: | FL |
Practice Address - Zip Code: | 34685-2314 |
Practice Address - Country: | US |
Practice Address - Phone: | 727-678-2761 |
Practice Address - Fax: | 727-773-2626 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2014-03-17 |
Last Update Date: | 2025-07-02 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
FL | 233488 | 253Z00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 253Z00000X | Agencies | In Home Supportive Care |