Healthcare Provider Details

I. General information

NPI: 1912823170
Provider Name (Legal Business Name): LMG BLESSED CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6391 NW 11TH ST APT 2
SUNRISE FL
33313-6158
US

IV. Provider business mailing address

6391 NW 11TH ST APT 2
SUNRISE FL
33313-6158
US

V. Phone/Fax

Practice location:
  • Phone: 954-707-2473
  • Fax:
Mailing address:
  • Phone: 954-707-2473
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: LATOYA GAITOR
Title or Position: CEO/OWNER
Credential:
Phone: 954-707-2473