Provider Demographics
NPI:1760638902
Name:LUCERNE HOME CARE, INC.
Entity Type:Organization
Organization Name:LUCERNE HOME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:GALVARINO
Authorized Official - Middle Name:RAMON
Authorized Official - Last Name:GUERRERO
Authorized Official - Suffix:
Authorized Official - Credentials:LPT
Authorized Official - Phone:281-587-1475
Mailing Address - Street 1:1701 FM 1960 RD W STE N
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77090-3213
Mailing Address - Country:US
Mailing Address - Phone:281-587-1475
Mailing Address - Fax:281-587-1518
Practice Address - Street 1:1701 FM 1960 RD W STE N
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-3213
Practice Address - Country:US
Practice Address - Phone:281-587-1475
Practice Address - Fax:281-587-1518
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-07
Last Update Date:2008-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health