Healthcare Provider Details

I. General information

NPI: 1689406050
Provider Name (Legal Business Name): LNR UNIVERSAL HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2024
Last Update Date: 09/23/2024
Certification Date: 09/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

223 FLOWER CITY PARK
ROCHESTER NY
14615-3612
US

IV. Provider business mailing address

223 FLOWER CITY PARK
ROCHESTER NY
14615-3612
US

V. Phone/Fax

Practice location:
  • Phone: 585-354-5888
  • Fax:
Mailing address:
  • Phone: 585-354-5888
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: LATASHA ROBINSON
Title or Position: OWNER
Credential:
Phone: 585-354-5888