Provider Demographics
NPI:1639474661
Name:LIGHTHOUSE KEEPERS
Entity Type:Organization
Organization Name:LIGHTHOUSE KEEPERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:TODD
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:RANKIN
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:330-261-9368
Mailing Address - Street 1:629 ROBBINS AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:NILES
Mailing Address - State:OH
Mailing Address - Zip Code:44446-2413
Mailing Address - Country:US
Mailing Address - Phone:330-261-9368
Mailing Address - Fax:
Practice Address - Street 1:629 ROBBINS AVE
Practice Address - Street 2:SUITE A
Practice Address - City:NILES
Practice Address - State:OH
Practice Address - Zip Code:44446-2413
Practice Address - Country:US
Practice Address - Phone:330-261-9368
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-23
Last Update Date:2011-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1754981251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health