Provider Demographics
NPI:1114700820
Name:7 LIGHTS OF CARE LLC
Entity Type:Organization
Organization Name:7 LIGHTS OF CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIONS
Authorized Official - Prefix:
Authorized Official - First Name:IBRAHIM
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-467-2819
Mailing Address - Street 1:2732 ROODS CREEK RD
Mailing Address - Street 2:
Mailing Address - City:HANCOCK
Mailing Address - State:NY
Mailing Address - Zip Code:13783-1855
Mailing Address - Country:US
Mailing Address - Phone:800-467-2819
Mailing Address - Fax:607-467-2458
Practice Address - Street 1:7 UNDERWOOD RD
Practice Address - Street 2:
Practice Address - City:VESTAL
Practice Address - State:NY
Practice Address - Zip Code:13850-6023
Practice Address - Country:US
Practice Address - Phone:800-467-2819
Practice Address - Fax:607-467-2458
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-16
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care