Healthcare Provider Details

I. General information

NPI: 1174454417
Provider Name (Legal Business Name): LAMITA CARE HOME HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6949 KENNEDY AVE STE B
HAMMOND IN
46323-2245
US

IV. Provider business mailing address

6949 KENNEDY AVE STE B
HAMMOND IN
46323-2245
US

V. Phone/Fax

Practice location:
  • Phone: 219-806-7202
  • Fax:
Mailing address:
  • Phone:
  • 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: LATOYA JONES
Title or Position: ADMINISTRATOR
Credential:
Phone: 219-806-7202