Provider Demographics
NPI:1447961578
Name:LEADZ HOMECARE SERVICES LLC
Entity type:Organization
Organization Name:LEADZ HOMECARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ZONY
Authorized Official - Middle Name:
Authorized Official - Last Name:FOMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-588-4980
Mailing Address - Street 1:271 NEEDHAM DR
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:DE
Mailing Address - Zip Code:19977-4470
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:271 NEEDHAM DR
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:DE
Practice Address - Zip Code:19977-4470
Practice Address - Country:US
Practice Address - Phone:302-588-4980
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-09
Last Update Date:2022-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care