# ETHAN PROJECT HEALTHCARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144943358
- **Authorized official:** LINDSAY BOYKIN BSN, RN (OWNER/VP)
- **Authorized official phone:** (806) 433-5480

## Contact information

- **Practice address:** 100 CROCKETT ST, AMARILLO, TX 79106-8346
- **Practice address phone:** (806) 433-5480
- **Mailing address:** 4042 RICARDO DR, AMARILLO, TX 79109-5036
- **Mailing address phone:** (806) 433-5480

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | — | NULL | — |
| 163W00000X | Registered Nurse | — | — | — |
| 164X00000X | Licensed Vocational Nurse | — | NULL | — |
| 164X00000X | Licensed Vocational Nurse | — | — | — |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 3747P1801X | Personal Care Attendant | — | NULL | — |
| 3747P1801X | Personal Care Attendant | — | — | — |

## Other

- **Enumeration date:** 09/22/2022
- **Last updated:** 03/23/2023