The Light Community Action Group, LLC.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

THE LIGHT COMMUNITY ACTION GROUP, LLC.

Practice address

2506 Jefferson Ave Ste 111
Newport News, VA 23607-4502

Phone

(757) 995-6036

Fax

(757) 527-2567

NPI assigned

Jun 10, 2025

Organization subpart

No

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

Authorized official

Name

Mrs. Idell WalkerNPI 1396628772

Title

Owner

Phone

(757) 753-3153

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Idell Walker

  • Community Health Worker
  • Newport News, VA
  • NPI 1396628772
  NPD Authorized official

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

{
    "created_epoch": "1749513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749513600000",
    "number": "1083509012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 DRAPER CIR",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236665025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2506 JEFFERSON AVE STE 111",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236074502",
            "telephone_number": "757-995-6036",
            "fax_number": "757-527-2567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LIGHT COMMUNITY ACTION GROUP, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-10",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "IDELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-753-3153",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Newport News, VA
• Providers in Newport News, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; 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.