MEDICARE: DTLEMAIRE 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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1730907270
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DTLEMAIRE LLC

Provider Business Mailing Address
First Line	:	170 S GREEN VALLEY PKWY # 318
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89012-3132
Country	:	US
Telephone Number	:	702-660-2060
Fax Number	:	702-441-0350

Provider Business Practice Location Address
First Line	:	170 S GREEN VALLEY PKWY # 318
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89012-3132
Country	:	US
Telephone Number	:	702-660-2060
Fax Number	:	702-441-0350

Authorized Official
Title or Position	:	OWNER
Name	:	DAVID THOMAS LEMAIRE
Credential	:
Telephone Number	:	516-304-1221

Provider Enumeration Date	:	10/02/2024
Last Update Date	:	05/21/2026

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Directions to “DTLEMAIRE LLC ” Practice Location

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