Provider Demographics
NPI:1154971331
Name:LIGHTHOUSE HOSPICE CARE INC
Entity type:Organization
Organization Name:LIGHTHOUSE HOSPICE CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DOROTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:OJIRIKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-405-3655
Mailing Address - Street 1:1020 LIGHTHOUSE CT
Mailing Address - Street 2:
Mailing Address - City:CEDAR HILL
Mailing Address - State:TX
Mailing Address - Zip Code:75104-6931
Mailing Address - Country:US
Mailing Address - Phone:214-405-3655
Mailing Address - Fax:214-247-7283
Practice Address - Street 1:1020 LIGHTHOUSE CT
Practice Address - Street 2:
Practice Address - City:CEDAR HILL
Practice Address - State:TX
Practice Address - Zip Code:75104-6931
Practice Address - Country:US
Practice Address - Phone:214-405-3655
Practice Address - Fax:214-247-7283
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-19
Last Update Date:2019-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health