Provider Demographics
NPI:1336986355
Name:LONE STAR HOME CARE GROUP LLC
Entity type:Organization
Organization Name:LONE STAR HOME CARE GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRSIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BELMOND
Authorized Official - Middle Name:
Authorized Official - Last Name:ATANGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-430-8310
Mailing Address - Street 1:31435 ELKCREEK BEND DR
Mailing Address - Street 2:
Mailing Address - City:HOCKLEY
Mailing Address - State:TX
Mailing Address - Zip Code:77447-1837
Mailing Address - Country:US
Mailing Address - Phone:716-430-8310
Mailing Address - Fax:
Practice Address - Street 1:31435 ELKCREEK BEND DR
Practice Address - Street 2:
Practice Address - City:HOCKLEY
Practice Address - State:TX
Practice Address - Zip Code:77447-1837
Practice Address - Country:US
Practice Address - Phone:716-430-8310
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-09
Last Update Date:2024-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive Care
No3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Multi-Specialty