Provider Demographics
NPI:1891928180
Name:LIGHTHOUSE HOME HEALTH CARE, CORP.
Entity Type:Organization
Organization Name:LIGHTHOUSE HOME HEALTH CARE, CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:NASRAT
Authorized Official - Middle Name:AR
Authorized Official - Last Name:ESBAI
Authorized Official - Suffix:
Authorized Official - Credentials:PHD IN NURSING SCIEN
Authorized Official - Phone:773-981-5420
Mailing Address - Street 1:3914 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60076-2766
Mailing Address - Country:US
Mailing Address - Phone:847-677-5444
Mailing Address - Fax:
Practice Address - Street 1:3914 MAIN ST
Practice Address - Street 2:
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60076-2766
Practice Address - Country:US
Practice Address - Phone:847-677-5444
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LIGHTHOUSE HOME HEALTH CARE, CORP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-09-02
Last Update Date:2009-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health