Healthcare Provider Details

I. General information

NPI: 1831605146
Provider Name (Legal Business Name): LFC FAMILY HOME HEALTH SOLUTIONS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/21/2017
Last Update Date: 07/22/2025
Certification Date: 07/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 NEBRASKA AVE STE 113
FORT PIERCE FL
34950-4831
US

IV. Provider business mailing address

2100 NEBRASKA AVE STE 113
FORT PIERCE FL
34950-4831
US

V. Phone/Fax

Practice location:
  • Phone: 724-659-9017
  • Fax: 772-465-9870
Mailing address:
  • Phone: 724-659-9017
  • Fax: 772-465-9870

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP9304174
License Number StateFL

VIII. Authorized Official

Name: MR. LERICHE FAMIUS LOUIS
Title or Position: PRESIDENT
Credential: APRN
Phone: 772-465-9901