Lighthouse Sitting Service

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

License

115-R-0004 Issued in GA

Legal business name

LIGHTHOUSE SITTING SERVICE

Practice address

40 Peachtree Rd
Rockmart, GA 30153-2812

Phone

(770) 684-1284

Fax

(770) 684-1284

NPI assigned

Jun 20, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. David Chandler, R.N.

Title

Owner

Phone

(770) 684-1284

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013912682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 PEACHTREE RD",
            "city": "ROCKMART",
            "state": "GA",
            "postal_code": "301532812",
            "telephone_number": "770-684-1284",
            "fax_number": "770-684-1284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 PEACHTREE RD",
            "city": "ROCKMART",
            "state": "GA",
            "postal_code": "301532812",
            "telephone_number": "770-684-1284",
            "fax_number": "770-684-1284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE SITTING SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHANDLER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-684-1284",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "GA",
            "license": "115-R-0004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME CARE LICENSE",
            "identifier": "115-R-0004",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Nursing Care Agency in Rockmart, GA
• Providers in Rockmart, GA by specialty
• Nursing Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.