Provider Demographics
NPI:1366234163
Name:LURESTA HEALTH GROUP LLC
Entity type:Organization
Organization Name:LURESTA HEALTH GROUP LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MOSHE
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHWIMMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-971-0572
Mailing Address - Street 1:500 N CENTRAL EXPY STE 500 PMB 1005
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75074-6703
Mailing Address - Country:US
Mailing Address - Phone:347-971-0572
Mailing Address - Fax:
Practice Address - Street 1:500 N CENTRAL EXPY STE 500
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75074-6703
Practice Address - Country:US
Practice Address - Phone:347-971-0572
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-19
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty