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NPI Code Detail

MEDICARE: LAMELOT HOME CARE LLC

MEDICARE: LAMELOT HOME CARE LLC
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency
2251C00000XDevelopmentally Disabled Services Day Training Agency

General Provider Information

NPI Number : 1225999659
Entity Type Code : Organization
Provider Name (Legal Business Name) : LAMELOT HOME CARE LLC
Provider Business Mailing Address
First Line : 2240 N FEDERAL DR
Second Line :
City : COLUMBIA
State : MO
Zip : 65202-5650
Country : US
Telephone Number : 210-750-0039
Fax Number :
Provider Business Practice Location Address
First Line : 2240 N FEDERAL DR
Second Line :
City : COLUMBIA
State : MO
Zip : 65202-5650
Country : US
Telephone Number : 210-750-0039
Fax Number :
Authorized Official
Title or Position : OWNER/CEO
Name : GABRIEL BAHATI SEMABWA
Credential :
Telephone Number : 210-750-0039
Provider Enumeration Date : 11/24/2025
Last Update Date : 12/02/2025

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