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NPI Code Detail

MEDICARE: LUBA'S HOMECARE INC.

MEDICARE: LUBA'S HOMECARE INC.
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
1251F00000XHome Infusion Agency
2251E00000XHome Health Agency

General Provider Information

NPI Number : 1881167732
Entity Type Code : Organization
Provider Name (Legal Business Name) : LUBA'S HOMECARE INC.
Provider Business Mailing Address
First Line : 220 E 57TH ST APT 2J
Second Line :
City : NEW YORK
State : NY
Zip : 10022-2691
Country : US
Telephone Number : 646-882-9990
Fax Number : 855-525-2020
Provider Business Practice Location Address
First Line : 220 E 57TH ST APT 2J
Second Line :
City : NEW YORK
State : NY
Zip : 10022-2691
Country : US
Telephone Number : 646-882-9990
Fax Number : 855-525-2020
Authorized Official
Title or Position : ADMINISTRATOR
Name : LIUBOV BRIZHATIUK
Credential :
Telephone Number : 917-607-0040
Provider Enumeration Date : 01/03/2019
Last Update Date : 12/27/2022

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Directions to “LUBA'S HOMECARE INC. ” Practice Location

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