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NPI Code Detail

MEDICARE: LIGHT HEART HOMECARE LLC

MEDICARE: LIGHT HEART HOMECARE 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
1253Z00000XIn Home Supportive Care Agency
2251E00000XHome Health Agency

General Provider Information

NPI Number : 1629542477
Entity Type Code : Organization
Provider Name (Legal Business Name) : LIGHT HEART HOMECARE LLC
Provider Business Mailing Address
First Line : 20510 DUNCAN RUN LN
Second Line :
City : CYPRESS
State : TX
Zip : 77433-8903
Country : US
Telephone Number : 571-276-2798
Fax Number :
Provider Business Practice Location Address
First Line : 13201 NORTHWEST FWY STE 800
Second Line :
City : HOUSTON
State : TX
Zip : 77040-6157
Country : US
Telephone Number : 281-318-5552
Fax Number : 180-085-6331
Authorized Official
Title or Position : OWNER
Name : CLAUDINE NTING
Credential :
Telephone Number : 571-276-2798
Provider Enumeration Date : 01/15/2019
Last Update Date : 02/21/2023

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Directions to “LIGHT HEART HOMECARE LLC ” Practice Location

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