Provider Demographics
NPI:1598941742
Name:LIGHTKEEPERS HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:LIGHTKEEPERS HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MS
Authorized Official - First Name:LORI
Authorized Official - Middle Name:A
Authorized Official - Last Name:JEROME
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-709-3672
Mailing Address - Street 1:82 GARFIELD AVENUE
Mailing Address - Street 2:RM 33
Mailing Address - City:EAST PALESTINE
Mailing Address - State:OH
Mailing Address - Zip Code:44413
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:82 GARFIELD AVE
Practice Address - Street 2:RM 33
Practice Address - City:EAST PALESTINE
Practice Address - State:OH
Practice Address - Zip Code:44413
Practice Address - Country:US
Practice Address - Phone:330-831-1560
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-18
Last Update Date:2008-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health