Lala's Home Healthcare,LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

LALA'S HOME HEALTHCARE,LLC

Practice address

5291 Main Nursery Rd
Hollywood, SC 29449-6708

Phone

(843) 539-8623

NPI assigned

Jul 17, 2018

Last updated

Jul 17, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rita Renita Fennell

Title

Owner/Operator

Phone

(843) 539-8623

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1531785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531785600000",
    "number": "1508342072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 871",
            "city": "HOLLYWOOD",
            "state": "SC",
            "postal_code": "294490871",
            "telephone_number": "843-539-8623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5291 MAIN NURSERY RD",
            "city": "HOLLYWOOD",
            "state": "SC",
            "postal_code": "294496708",
            "telephone_number": "843-539-8623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LALA'S HOME HEALTHCARE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-17",
        "last_updated": "2018-07-17",
        "status": "A",
        "authorized_official_last_name": "FENNELL",
        "authorized_official_first_name": "RITA",
        "authorized_official_middle_name": "RENITA",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "843-539-8623"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME HEALTHCARE",
            "identifier": "589205770",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dee Hann Morrison, PH. D.
• Leslie Adair Jewell, RN
• Mary Diane Keisler, RPH
• Tamela S Kizer, RN
• Jeanette Kluckowski, RN
• Melissa Macher, RD, LD
• Antonia Mack, RN
• Kaylee McDaniel
• Medibridge Health (MediConnect)
• Alicia Mitchell

• Home Health Agency in Hollywood, SC
• Providers in Hollywood, SC by specialty
• Home Health Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2018; 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.