Provider Demographics
NPI:1609879469
Name:LIGHTHOUSE HOSPICE PARTNERS LLC
Entity Type:Organization
Organization Name:LIGHTHOUSE HOSPICE PARTNERS LLC
Other - Org Name:GIRLING HOSPICE TEXAS BY HARDEN HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ASSISTANT SECRETARY
Authorized Official - Prefix:MS
Authorized Official - First Name:RUTH
Authorized Official - Middle Name:C
Authorized Official - Last Name:SCHWARTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-814-2288
Mailing Address - Street 1:12900 FOSTER
Mailing Address - Street 2:SUITE 400
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66062-2696
Mailing Address - Country:US
Mailing Address - Phone:913-814-2800
Mailing Address - Fax:512-634-4966
Practice Address - Street 1:715 E MAIN ST
Practice Address - Street 2:SUITE 100
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77375-6720
Practice Address - Country:US
Practice Address - Phone:281-290-7727
Practice Address - Fax:281-290-8460
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-05-24
Last Update Date:2014-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX013033251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX001017960Medicaid
TX451728Medicare Oscar/Certification