Provider Demographics
NPI:1447587357
Name:LSB'S HOME CARE SERVICES
Entity type:Organization
Organization Name:LSB'S HOME CARE SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:SICONOLFI-BAEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MS, MPH
Authorized Official - Phone:516-408-3165
Mailing Address - Street 1:250 FULTON AVE
Mailing Address - Street 2:STE. 611
Mailing Address - City:HEMPSTEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11550-3917
Mailing Address - Country:US
Mailing Address - Phone:516-408-3165
Mailing Address - Fax:516-308-3168
Practice Address - Street 1:250 FULTON AVE
Practice Address - Street 2:STE. 611
Practice Address - City:HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11550-3917
Practice Address - Country:US
Practice Address - Phone:516-408-3165
Practice Address - Fax:516-308-3168
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-13
Last Update Date:2009-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care