Provider Demographics
NPI:1063103208
Name:LONE STAR HOME CARE SOLUTIONS LLC
Entity type:Organization
Organization Name:LONE STAR HOME CARE SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AMBR
Authorized Official - Prefix:
Authorized Official - First Name:RODNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:NDUMBE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-552-0411
Mailing Address - Street 1:5431 TOURMALINE WAY
Mailing Address - Street 2:
Mailing Address - City:BROOKSHIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77423-3043
Mailing Address - Country:US
Mailing Address - Phone:404-552-0411
Mailing Address - Fax:
Practice Address - Street 1:5431 TOURMALINE WAY
Practice Address - Street 2:
Practice Address - City:BROOKSHIRE
Practice Address - State:TX
Practice Address - Zip Code:77423-3043
Practice Address - Country:US
Practice Address - Phone:404-552-0411
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-18
Last Update Date:2023-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty