Organization Name: | LIGHTHOUSE PRIMARY HOME CARE LLC |
NPI Number: | 1851666200 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ARMANDO NATIVIDAD (CEO/OWNER) |
Mailing Address: | 1716 S San Marcos Suite 27 San Antonio |
State: | TX US |
Postal Code: | 782077094 |
Phone Number: | 2104441825 |
Fax Number: | 2102239128 |
NPI Enumeration Date: | 03/19/2012 |
NPI Last Update Date: | 03/20/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |