Organization Active NPI

Altum Home Care Services, LLC

  • In Home Supportive Care Agency
  • Lakeland, FL
National Provider Identifier
1295406247
Registry record updated Oct 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
ALTUM HOME CARE SERVICES, LLC
Practice address
6155 S Florida Ave Ste 15a
Lakeland, FL 33813-3323
Phone
(630) 755-1653
NPI assigned
Sep 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Rufino Lugod Jr.
Title
Owner/President/Administrator
Phone
(630) 755-1653

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary
Personal Care AttendantGroup: 193200000X MULTI-SPECIALTY GROUP 3747P1801X

Addresses

Primary practice location

6155 S Florida Ave Ste 15a
Lakeland, FL 33813-3323

Mailing address

908 S Florida Ave Ste 206
Lakeland, FL 33803-1177
Phone (630) 755-1653

National Provider Directory

National Provider Directory

Locations

6155 S Florida Ave
Ste 15A
Lakeland, FL 33813
Phone (630) 755-1653

908 S Florida Ave
Ste 206
Lakeland, FL 33803

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1632182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634256000000",
    "number": "1295406247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 S FLORIDA AVE STE 206",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338031177",
            "telephone_number": "630-755-1653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6155 S FLORIDA AVE STE 15A",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338133323",
            "telephone_number": "630-755-1653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTUM HOME CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-21",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A",
        "authorized_official_last_name": "LUGOD",
        "authorized_official_first_name": "RUFINO",
        "authorized_official_title_or_position": "OWNER/PRESIDENT/ADMINISTRATOR",
        "authorized_official_telephone_number": "630-755-1653",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.