Healthcare Provider Details

I. General information

NPI: 1093377228
Provider Name (Legal Business Name): MS. LAFRANCES LUSTER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LAFRANCES CARR

II. Dates (important events)

Enumeration Date: 07/09/2019
Last Update Date: 07/09/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5303 KOHOUT ST
MAPLE HEIGHTS OH
44137-1029
US

IV. Provider business mailing address

5303 KOHOUT ST
MAPLE HEIGHTS OH
44137-1029
US

V. Phone/Fax

Practice location:
  • Phone: 216-450-9593
  • Fax:
Mailing address:
  • Phone: 216-450-9593
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code171W00000X
TaxonomyContractor
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: