Lighthouse Healthcare Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

01120 Issued in VA

Legal business name

LIGHTHOUSE HEALTHCARE INC

Practice address

8394 G Terminal Rd
Lorton, VA 22079

Phone

(703) 550-1400

Fax

(703) 550-8860

NPI assigned

Jul 21, 2006

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

Wendy Sutton

Title

Administrator

Phone

(703) 550-1400

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Tax ID family

Caresouth HHA Holdings of Virginia LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Caresouth HHA Holdings of Virginia, LLC

  dba Enhabit Home Health

  • Home Health Agency
  • Springfield, VA
  • NPI 1609323278
  NPD tax ID
• Caresouth HHA Holdings of Virginia, LLC

  dba Enhabit Home Health

  • Home Health Agency
  • Petersburg, VA
  • NPI 1760709638
  NPD tax ID
• Celtic Healthcare of Maryland, Inc.

  • Home Health Agency
  • Rockville, MD
  • NPI 1467682989
  NPD tax ID

Locations

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Caresouth HHA Holdings of Virginia, LLC

  dba Enhabit Home Health

  • Home Health Agency
  • Springfield, VA
  • NPI 1609323278

  Sold to, 2016-10-01

  CMS change of ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Balvant Parashram Arora, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Fredericksburg, VA
  • NPI 1235158189
  NPD (past)

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073534756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1043",
            "address_2": "8394 G TERMINAL RD",
            "city": "NEWINGTON",
            "state": "VA",
            "postal_code": "221221043",
            "telephone_number": "703-550-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8394 G TERMINAL RD",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "22079",
            "telephone_number": "703-550-1400",
            "fax_number": "703-550-8860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SUTTON",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "703-550-1400"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "VA",
            "license": "01120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH KEEPERS PROVIDER #",
            "identifier": "196347",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Lorton, VA
• Providers in Lorton, VA by specialty
• Home Health Agency in Virginia

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.