Healthcare Provider Details

I. General information

NPI: 1144156902
Provider Name (Legal Business Name): LJ & MARGARITA HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

817 HOUR GLASS RD
LAKELAND FL
33801-2252
US

IV. Provider business mailing address

817 HOUR GLASS RD
LAKELAND FL
33801-2252
US

V. Phone/Fax

Practice location:
  • Phone: 570-867-3363
  • Fax:
Mailing address:
  • Phone: 570-867-3363
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MARGARITA FERNANDEZ TORRES
Title or Position: OWNER/ADMINISTRATOR
Credential: HHA,CNA
Phone: 570-867-3363