Provider Demographics
NPI:1841040912
Name:A LIGHT HEALTHCARE LIMITED LIABILITY COMPANY
Entity type:Organization
Organization Name:A LIGHT HEALTHCARE LIMITED LIABILITY COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:CHEGE
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:281-220-7442
Mailing Address - Street 1:2530 SUNRISE HARBOR LN
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-3247
Mailing Address - Country:US
Mailing Address - Phone:281-220-7442
Mailing Address - Fax:
Practice Address - Street 1:2530 SUNRISE HARBOR LN
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-3247
Practice Address - Country:US
Practice Address - Phone:281-220-7442
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-25
Last Update Date:2024-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No305S00000XManaged Care OrganizationsPoint of Service
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility