Provider Demographics
NPI:1487014213
Name:LIGHTHOUSE OF CARE INC.
Entity type:Organization
Organization Name:LIGHTHOUSE OF CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:ZIELINSKI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:817-891-2361
Mailing Address - Street 1:6215 KEN AVE
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76001-5705
Mailing Address - Country:US
Mailing Address - Phone:817-891-2361
Mailing Address - Fax:
Practice Address - Street 1:6215 KEN AVE
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76001-5705
Practice Address - Country:US
Practice Address - Phone:817-891-2361
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-07
Last Update Date:2016-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility