Provider Demographics
NPI:1730447665
Name:CONCORDIA HOME HEALTH, INC.
Entity type:Organization
Organization Name:CONCORDIA HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:LAUBENSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:407-288-2516
Mailing Address - Street 1:5645 LAKE LIZZIE DR
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:FL
Mailing Address - Zip Code:34771-8510
Mailing Address - Country:US
Mailing Address - Phone:407-892-7440
Mailing Address - Fax:
Practice Address - Street 1:5645 LAKE LIZZIE DR
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:FL
Practice Address - Zip Code:34771-8510
Practice Address - Country:US
Practice Address - Phone:407-892-7440
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-28
Last Update Date:2012-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health