MEDICARE: THE LEMONADE HOUSE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251C00000X	Developmentally Disabled Services Day Training Agency
2	251S00000X	Community/Behavioral Health Agency
3	251B00000X	Case Management Agency
4	385H00000X	Respite Care
5	324500000X	Substance Abuse Rehabilitation Facility

General Provider Information

NPI Number	:	1164286688
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE LEMONADE HOUSE LLC

Provider Business Mailing Address
First Line	:	3312 CORTE DEL CRUCE
Second Line	:
City	:	CARLSBAD
State	:	CA
Zip	:	92009-9546
Country	:	US
Telephone Number	:	760-272-6816
Fax Number	:

Provider Business Practice Location Address
First Line	:	39402 COLONY UNION ST
Second Line	:
City	:	MURRIETA
State	:	CA
Zip	:	92563-7327
Country	:	US
Telephone Number	:	760-272-6816
Fax Number	:

Authorized Official
Title or Position	:	MANAGING DIRECTOR
Name	:	AMY KONOPKA
Credential	:
Telephone Number	:	760-272-6816

Provider Enumeration Date	:	02/07/2024
Last Update Date	:	03/19/2026

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Directions to “THE LEMONADE HOUSE LLC ” Practice Location

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