Lubis Enterprise Llc

LBN: Lubis Enterprise Llc
Lubis Enterprise Llc is an health care organization with primary practice located at 1215 La Salida Way , Leesburg FL 34748-8272. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Lubis Enterprise Llc can be contacted via phone (352) 787-3034, or through Lubis, Deviano via phone (352) 787-3034.

Contact Information

Primary practice address
1215 La Salida Way Leesburg FL 34748-8272
Phone: (352) 787-3034
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lubis, Deviano
Phone: (352) 787-3034

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X

Profile Details

NPI number 1467074484
LBN Legal business name Lubis Enterprise Llc
DBA Doing business as
Authorized official Lubis, Deviano
Entity Organization
Organization subpart 1 No
Enumeration date May 13th, 2020
Last updated May 13th, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467074484 NPPES
Florida MEDICAID 105721800

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