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NPI Code Detail

MEDICARE: LITTLE LANTERN HOSPICE LLC

MEDICARE: LITTLE LANTERN HOSPICE LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251G00000XCommunity Based Hospice Care Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1018790OTHERTXTEXAS HOSPICE LICENSE

General Provider Information

NPI Number : 1639686256
Entity Type Code : Organization
Provider Name (Legal Business Name) : LITTLE LANTERN HOSPICE LLC
Provider Business Mailing Address
First Line : 2705 DAMSEL BELLA BLVD
Second Line :
City : LEWISVILLE
State : TX
Zip : 75056-6169
Country : US
Telephone Number : 469-788-8588
Fax Number : 469-788-7800
Provider Business Practice Location Address
First Line : 4541 N JOSEY LN STE 110
Second Line :
City : CARROLLTON
State : TX
Zip : 75010-4622
Country : US
Telephone Number : 469-775-9555
Fax Number : 469-788-7800
Authorized Official
Title or Position : CEO
Name : BIJU M LUKOSE
Credential :
Telephone Number : 469-788-8588
Provider Enumeration Date : 01/04/2018
Last Update Date : 12/18/2025

Similar Medicare Providers

1336172824 — DR. CESAR J ALEMAN M.D.
Practice Location Address:
4541 N JOSEY LN STE 110
CARROLLTON, TX
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Practice Phone: 469-788-8588
Practice Fax: 469-788-7800
1194740597 — DAVID R PARKER JR. MD
Practice Location Address:
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1053501809 — BIJU M LUKOSE M.D.
Practice Location Address:
4541 N JOSEY LANE , SUITE 110
CARROLLTON, TX
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Practice Phone: 469-788-8588
Practice Fax: 469-788-7800
1861829715 — DR.BIJU MATHEW LUKOSE MD FACS P.L.L.C.
Practice Location Address:
4541 N JOSEY LN STE 110
CARROLLTON, TX
75010-4622
Practice Phone: 469-546-5304
Practice Fax:
1306383294 — LITTLE LANTERN CARE
Practice Location Address:
4541 N JOSEY LN STE 110
CARROLLTON, TX
75010-4622
Practice Phone: 469-788-8588
Practice Fax: 469-788-7800
1114409133 — LITTLE LANTERN CLINIC LLC
Practice Location Address:
4541 N JOSEY LN STE 110
CARROLLTON, TX
75010-4622
Practice Phone: 469-788-8588
Practice Fax: 469-788-7800

Directions to “LITTLE LANTERN HOSPICE LLC ” Practice Location

Language Start Address Practice Location
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