MEDICARE: LENITY HOME CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3747A0650X	Attendant Care Provider

General Provider Information

NPI Number	:	1003698010
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LENITY HOME CARE LLC

Provider Business Mailing Address
First Line	:	9500 NW 77TH AVE STE 14
Second Line	:
City	:	HIALEAH GARDENS
State	:	FL
Zip	:	33016-2522
Country	:	US
Telephone Number	:	786-501-2089
Fax Number	:	786-501-2113

Provider Business Practice Location Address
First Line	:	9500 NW 77TH AVE STE 14
Second Line	:
City	:	HIALEAH GARDENS
State	:	FL
Zip	:	33016-2522
Country	:	US
Telephone Number	:	786-501-2089
Fax Number	:	786-501-2113

Authorized Official
Title or Position	:	MEMBER
Name	:	MICHAEL SANZ
Credential	:
Telephone Number	:	305-342-7972

Provider Enumeration Date	:	10/16/2023
Last Update Date	:	10/16/2023

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Directions to “LENITY HOME CARE LLC ” Practice Location

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