MEDICARE: LS HOME HEALTH WOUND CARE INC

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	363LF0000X	Family Nurse Practitioner

General Provider Information

NPI Number	:	1245197862
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LS HOME HEALTH WOUND CARE INC

Provider Business Mailing Address
First Line	:	441 E BERTEAU AVE
Second Line	:
City	:	ELMHURST
State	:	IL
Zip	:	60126-2401
Country	:	US
Telephone Number	:	847-320-1978
Fax Number	:	708-228-6282

Provider Business Practice Location Address
First Line	:	441 E BERTEAU AVE
Second Line	:
City	:	ELMHURST
State	:	IL
Zip	:	60126-2401
Country	:	US
Telephone Number	:	847-320-1978
Fax Number	:	847-320-9031

Authorized Official
Title or Position	:	OWNER
Name	:	LAXMI DESHABATHINI
Credential	:
Telephone Number	:	847-320-1978

Provider Enumeration Date	:	01/06/2026
Last Update Date	:	01/14/2026

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