Organization Active NPI

Carrie's Lighthouse LLC

  • Adult Day Care Clinic/Center
  • Barberton, OH
National Provider Identifier
1083421788
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
CARRIE'S LIGHTHOUSE LLC
Doing business as
Carrie's Lighthouse LLC
Practice address
803 Wooster Rd N
Barberton, OH 44203-1664
Phone
(330) 607-2048
NPI assigned
Dec 16, 2024
Last updated
Dec 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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

Authorized official

Name
Kelly PrigmoreNPI 1295542975
Title
Manager
Phone
(330) 475-2234

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

803 Wooster Rd N
Barberton, OH 44203-1664

Mailing address

803 Wooster Rd N
Barberton, OH 44203-1664
Phone (330) 475-2234

Other names 1

  • CARRIE'S LIGHTHOUSE LLC Doing business as

National Provider Directory

National Provider Directory

Locations

803 Wooster Rd N
Barberton, OH 44203
Phone (330) 475-2234

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1734307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734307200000",
    "number": "1083421788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 WOOSTER RD N",
            "city": "BARBERTON",
            "state": "OH",
            "postal_code": "442031664",
            "telephone_number": "330-475-2234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 WOOSTER RD N",
            "city": "BARBERTON",
            "state": "OH",
            "postal_code": "442031664",
            "telephone_number": "330-607-2048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARRIE'S LIGHTHOUSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-16",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A",
        "authorized_official_last_name": "PRIGMORE",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "330-475-2234"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CARRIE'S LIGHTHOUSE LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Barberton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; 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.