Healthcare Provider Details

I. General information

NPI: 1285012633
Provider Name (Legal Business Name): LEMONAIDES HOME CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2015
Last Update Date: 05/18/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1365 N HIDDEN CREEK DR
SALINE MI
48176-9018
US

IV. Provider business mailing address

1365 N HIDDEN CREEK DR
SALINE MI
48176-9018
US

V. Phone/Fax

Practice location:
  • Phone: 734-846-1511
  • Fax:
Mailing address:
  • Phone: 734-846-1511
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. LENORE LONG CROCKETT
Title or Position: OWNER
Credential:
Phone: 734-846-1511