Healthcare Provider Details
I. General information
NPI: 1275389199
Provider Name (Legal Business Name): LLS HOMECARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/30/2024
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2000 LEE ROAD STE 217
CLEVELAND HEIGHTS OH
44118
US
IV. Provider business mailing address
2000 LEE RD STE 216
CLEVELAND HEIGHTS OH
44118-2559
US
V. Phone/Fax
- Phone: 216-541-1992
- Fax:
- Phone: 216-505-9224
- Fax: 216-510-3499
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251B00000X |
| Taxonomy | Case Management Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251J00000X |
| Taxonomy | Nursing Care Agency |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 385H00000X |
| Taxonomy | Respite Care |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
LEKITA
LAMONA
SCOTT
Title or Position: CEO
Credential: MSN APRN FNP-C
Phone: 216-505-9224