# LASTING MEMORIES CARE SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689585903
- **Authorized official:** LACOTTA HOSKINS-BERRY (OWNER)
- **Authorized official phone:** (480) 744-6041

## Contact information

- **Practice address:** 15240 N 142ND AVE, SURPRISE, AZ 85379-8754
- **Practice address phone:** (480) 744-6041
- **Mailing address:** 15411 W WADDELL RD STE 102, SURPRISE, AZ 85379-5170
- **Mailing address phone:** (480) 744-6041

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 343900000X | Non-emergency Medical Transport (VAN) | — | NULL | — |

## Other

- **Enumeration date:** 09/15/2026
- **Last updated:** 09/28/2026