Healthcare Provider Details

I. General information

NPI: 1780597823
Provider Name (Legal Business Name): L&T HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10979 MOUNTAIN ASH AVE NW
GRAND RAPIDS MI
49534-6710
US

IV. Provider business mailing address

10979 MOUNTAIN ASH AVE NW
GRAND RAPIDS MI
49534-6710
US

V. Phone/Fax

Practice location:
  • Phone: 616-401-0492
  • Fax:
Mailing address:
  • Phone: 616-401-0492
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateNULL

VIII. Authorized Official

Name: LAVITA JONELLE WALKER
Title or Position: OWNER
Credential:
Phone: 616-401-0492