Provider Demographics
NPI:1881962082
Name:LBS INTERNATIONAL INC DBA FRIENDLY CARE AGENCY
Entity type:Organization
Organization Name:LBS INTERNATIONAL INC DBA FRIENDLY CARE AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:SAM
Authorized Official - Middle Name:
Authorized Official - Last Name:LANTSMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-578-4765
Mailing Address - Street 1:6501 E LIVINGSTON AVE STE 4
Mailing Address - Street 2:
Mailing Address - City:REYNOLDSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43068-3561
Mailing Address - Country:US
Mailing Address - Phone:614-868-9015
Mailing Address - Fax:
Practice Address - Street 1:6501 E LIVINGSTON AVE STE 4
Practice Address - Street 2:
Practice Address - City:REYNOLDSBURG
Practice Address - State:OH
Practice Address - Zip Code:43068-3561
Practice Address - Country:US
Practice Address - Phone:614-868-9015
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-02
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2164027Medicaid