Healthcare Provider Details

I. General information

NPI: 1780269274
Provider Name (Legal Business Name): LAMERCIE HEALTH CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2021
Last Update Date: 03/06/2023
Certification Date: 03/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2423 CUMBERLAND CLIFF DR
RUSKIN FL
33570-6340
US

IV. Provider business mailing address

2423 CUMBERLAND CLIFF DR
RUSKIN FL
33570-6340
US

V. Phone/Fax

Practice location:
  • Phone: 813-733-1002
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: NATACHA DELINCE
Title or Position: CEO
Credential:
Phone: 813-733-1002