Provider Demographics
NPI:1629542477
Name:LIGHT HEART HOMECARE LLC
Entity Type:Organization
Organization Name:LIGHT HEART HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CLAUDINE
Authorized Official - Middle Name:
Authorized Official - Last Name:NTING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:571-276-2798
Mailing Address - Street 1:20510 DUNCAN RUN LN
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-8903
Mailing Address - Country:US
Mailing Address - Phone:571-276-2798
Mailing Address - Fax:
Practice Address - Street 1:13201 NORTHWEST FWY STE 800
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77040-6157
Practice Address - Country:US
Practice Address - Phone:281-318-5552
Practice Address - Fax:180-085-6331
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-15
Last Update Date:2023-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care