LIGHTHOUSE PERSONAL CARE HOMELLC NPI 1073498226

NPI Information

  • NPI: 1073498226
  • Provider Name: LIGHTHOUSE PERSONAL CARE HOME,LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Address: 824 SW HILLSIDE DR
    BURLESON, TX
    ZIP 76028
  • Phone: (601) 573-3116

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NPI Details

LIGHTHOUSE PERSONAL CARE HOME,LLC is an assisted living facility in Burleson, TX. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. LIGHTHOUSE PERSONAL CARE HOME,LLC NPI is 1073498226. The provider is registered as an organization entity type.

The provider's business location address is:

824 SW HILLSIDE DR
BURLESON, TX
ZIP 76028-237
Phone: (601) 573-3116
Fax: (601) 573-3116

The provider's authorized official is Revera White .
The authorized official title is Ceo and has the following contact phone number (469) 806-9551.

The enumeration date for this NPI number is 8/7/2025 and was last updated on 8/7/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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