Lighthearted Care And Wellness LLC
Nurse Practitioner, Family in Manvel, TX. Organization (NPI-2).
NPI number1750197307
StatusActive
Last updated in NPPESDec 9, 2024
Details
- NPI
- 1750197307
- Entity type
- Organization (NPI-2)
- Legal business name
- Lighthearted Care And Wellness LLC
- Organization subpart
- No
- Enumeration date
- Dec 9, 2024
- Certification date
- Dec 9, 2024
- Last updated
- Dec 9, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | – | – | Yes |
Practice location
23 San Simeon DrManvel, TX 77578-3286
Phone 337-532-1615
Mailing address
23 San Simeon DrManvel, TX 77578-3286
Authorized official
Obiageli Durousseau
Fnp- Bc
3375321615
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