Provider Demographics
NPI:1982073904
Name:LJC HOME CARE, LLC
Entity Type:Organization
Organization Name:LJC HOME CARE, LLC
Other - Org Name:FIRSTLIGHT HOME CARE OF DUBLIN & HILLIARD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARIANNE
Authorized Official - Middle Name:E
Authorized Official - Last Name:CHRISTMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-495-0276
Mailing Address - Street 1:9 N 3RD ST
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:OH
Mailing Address - Zip Code:43055-5506
Mailing Address - Country:US
Mailing Address - Phone:614-495-0276
Mailing Address - Fax:614-368-2020
Practice Address - Street 1:9 N 3RD ST
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:OH
Practice Address - Zip Code:43055-5506
Practice Address - Country:US
Practice Address - Phone:614-495-0276
Practice Address - Fax:614-368-2020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-21
Last Update Date:2020-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0171673Medicaid