Provider Demographics
NPI:1770335218
Name:LAMAR'S HEART GROUP CARE HOME
Entity type:Organization
Organization Name:LAMAR'S HEART GROUP CARE HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:YUSHEKA
Authorized Official - Middle Name:M
Authorized Official - Last Name:GARNER
Authorized Official - Suffix:
Authorized Official - Credentials:MPA
Authorized Official - Phone:346-543-2669
Mailing Address - Street 1:4015 LEIGHANN LANE DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77047-6741
Mailing Address - Country:US
Mailing Address - Phone:832-258-9314
Mailing Address - Fax:
Practice Address - Street 1:4015 LEIGHANN LANE DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77047-6741
Practice Address - Country:US
Practice Address - Phone:346-543-2669
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-05
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No251S00000XAgenciesCommunity/Behavioral Health