Lucky'S Home Care, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

LUCKY'S HOME CARE, LLC

Practice address

524 Franklin Ave
Aliquippa, PA 15001-3728

Phone

(724) 378-2882

Fax

(724) 378-9809

NPI assigned

Dec 12, 2017

Organization subpart

No

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

Authorized official

Name

Cheryl McMiller

Title

Administrator

Phone

(724) 378-2882

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1513036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514332800000",
    "number": "1679088702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 FRANKLIN AVE",
            "city": "ALIQUIPPA",
            "state": "PA",
            "postal_code": "150013728",
            "telephone_number": "724-378-2882",
            "fax_number": "724-378-9809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 FRANKLIN AVE",
            "city": "ALIQUIPPA",
            "state": "PA",
            "postal_code": "150013728",
            "telephone_number": "724-378-2882",
            "fax_number": "724-378-9809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCKY'S HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-12",
        "last_updated": "2017-12-27",
        "status": "A",
        "authorized_official_last_name": "MCMILLER",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "724-378-2882"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER",
            "identifier": "103000043-0001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER LICENSE NUMBER",
            "identifier": "25813601",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Providers in Aliquippa, PA by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2017; 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.