Provider Demographics
NPI:1598207714
Name:LANTERN WEST HEALTH LLC
Entity Type:Organization
Organization Name:LANTERN WEST HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ABIGAIL
Authorized Official - Middle Name:
Authorized Official - Last Name:KIHARA
Authorized Official - Suffix:
Authorized Official - Credentials:BSN, RN CCM
Authorized Official - Phone:614-594-7474
Mailing Address - Street 1:1200 CHAMBERS RD STE 309
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43212-1703
Mailing Address - Country:US
Mailing Address - Phone:614-594-7474
Mailing Address - Fax:614-594-7171
Practice Address - Street 1:1200 CHAMBERS RD STE 309
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43212-1703
Practice Address - Country:US
Practice Address - Phone:614-594-7474
Practice Address - Fax:614-594-7171
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-07
Last Update Date:2020-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH210826Medicaid