Lisma Care Services LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

LISMA CARE SERVICES LLC

Practice address

23229 Claystone Ave
Corona, CA 92883-5078

Phone

(909) 354-1345

NPI assigned

Jan 13, 2023

Organization subpart

No

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

Authorized official

Name

Bethsisca Wutzke

Title

Owner

Phone

(909) 354-1345

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1673568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673568000000",
    "number": "1336853324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23229 CLAYSTONE AVE",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928835078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23229 CLAYSTONE AVE",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928835078",
            "telephone_number": "909-354-1345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISMA CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-13",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A",
        "authorized_official_last_name": "WUTZKE",
        "authorized_official_first_name": "BETHSISCA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-354-1345"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Corona, CA
• Providers in Corona, CA by specialty
• In Home Supportive Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; 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.