Active NPI
Lighthouse Elder Care, Inc.
- In Home Supportive Care Agency
- Gorham, ME
National Provider Identifier
1013557040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- LIGHTHOUSE ELDER CARE, INC.
- Practice address
- 502 Main St
Gorham, ME 04038-1334 - Phone
- (207) 839-0441
- Fax
- (207) 839-6666
- NPI assigned
- Jan 7, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. William Jenks
- Title
- President/Ceo
- Phone
- (207) 839-0441
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
502 Main St
Gorham, ME 04038-1334
Mailing address
502 Main St
Gorham, ME 04038-1334
Phone (207) 839-0441
Other names 1
- Home Instead Senior Care
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578355200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1578355200000",
"number": "1013557040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "502 MAIN ST",
"city": "GORHAM",
"state": "ME",
"postal_code": "040381334",
"telephone_number": "207-839-0441",
"fax_number": "207-839-6666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "502 MAIN ST",
"city": "GORHAM",
"state": "ME",
"postal_code": "040381334",
"telephone_number": "207-839-0441",
"fax_number": "207-839-6666"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIGHTHOUSE ELDER CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-07",
"last_updated": "2020-01-07",
"certification_date": "2020-01-07",
"status": "A",
"authorized_official_last_name": "JENKS",
"authorized_official_first_name": "WILLIAM",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "207-839-0441",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Home Instead Senior Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Gorham, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.