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NPI Code Detail

MEDICARE: LIGHTHOUSE HOME HEALTH SERVICES, LLC

MEDICARE: LIGHTHOUSE HOME HEALTH SERVICES, 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
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1457993560
Entity Type Code : Organization
Provider Name (Legal Business Name) : LIGHTHOUSE HOME HEALTH SERVICES, LLC
Provider Business Mailing Address
First Line : 1922 WILLOW WISP LN
Second Line :
City : SPRING
State : TX
Zip : 77388-6243
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1922 WILLOW WISP LN
Second Line :
City : SPRING
State : TX
Zip : 77388-6243
Country : US
Telephone Number : 713-322-5331
Fax Number :
Authorized Official
Title or Position : ADMINISTRATOR
Name : BRANDON EVANS
Credential :
Telephone Number : 713-322-5331
Provider Enumeration Date : 10/09/2019
Last Update Date : 10/09/2019

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Directions to “LIGHTHOUSE HOME HEALTH SERVICES, LLC ” Practice Location

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