Provider Demographics
NPI:1528595253
Name:LIGHTHOUSE CHRISTIAN HOME CARE LLC
Entity type:Organization
Organization Name:LIGHTHOUSE CHRISTIAN HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KRISTIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MANION
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-398-3412
Mailing Address - Street 1:PO BOX 155
Mailing Address - Street 2:
Mailing Address - City:LOCKHART
Mailing Address - State:TX
Mailing Address - Zip Code:78644-0155
Mailing Address - Country:US
Mailing Address - Phone:512-398-3412
Mailing Address - Fax:
Practice Address - Street 1:1650 HORSESHOE RD
Practice Address - Street 2:
Practice Address - City:LOCKHART
Practice Address - State:TX
Practice Address - Zip Code:78644-3482
Practice Address - Country:US
Practice Address - Phone:512-398-3412
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-12
Last Update Date:2017-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care