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Contact Information

LIGHTHOUSE PREMIUM HOME CARE LLC
3300 COUNTY ROAD 10
STE 200D
BROOKLYN CENTER, MN55429
 Phone: 612-886-4585
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nursing Care

251J00000X
 

Home Health

251E00000X A4[11] Home Health Agency
Indicates primary specialty

NPI Profile & details for LIGHTHOUSE PREMIUM HOME CARE LLC

NPI # 1548085079
LBN Legal business name LIGHTHOUSE PREMIUM HOME CARE LLC
Authorized official OSWALD DEMA - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/19/2024
Last updated 11/19/2024 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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