MEDICARE: LT LANOCH GROUP 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
1	251X00000X	Supports Brokerage Agency
2	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1275400251
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LT LANOCH GROUP LLC

Provider Business Mailing Address
First Line	:	1911 GOLDEN LEAF DR
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-5416
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1911 GOLDEN LEAF DR
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-5416
Country	:	US
Telephone Number	:	281-967-1071
Fax Number	:

Authorized Official
Title or Position	:	CFO / CO ADMINISTRATOR
Name	:	MR. TOCHUKWU DIBUA
Credential	:
Telephone Number	:	281-967-1071

Provider Enumeration Date	:	10/22/2025
Last Update Date	:	03/09/2026

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