| Organization Name: | LIGHTHOUSE MINISTRIES PROVIDER CARE SERVICE, INC. |
| NPI Number: | 1083886949 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KAREN WATKINS BEANER (PROGRAM DIRECTOR) |
| Mailing Address: | 7505 Pines Rd Suite # 1170 Shreveport |
| State: | LA US |
| Postal Code: | 711293935 |
| Phone Number: | 3186884260 |
| Fax Number: | |
| NPI Enumeration Date: | 03/31/2008 |
| NPI Last Update Date: | 03/31/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251J00000X |
| License Number: | 46701 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Nursing Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. |