Firstlight Home Care

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

FIRSTLIGHT HOME CARE

Practice address

91 Bay Bridge Dr
Gulf Breeze, FL 32561-4468

Phone

(850) 659-9600

NPI assigned

Oct 12, 2016

Organization subpart

No

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

Authorized official

Name

David Lance HendersonNPI 1003369190

Title

Owner

Phone

(850) 240-8578

Specialties & licenses 1

Addresses

Practitioners 1

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

• David Lance Henderson

  • Adult Companion
  • Gulf Breeze, FL
  • NPI 1003369190
  NPD (past) Authorized official

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

{
    "created_epoch": "1476230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476230400000",
    "number": "1114477338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 BAY BRIDGE DR",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325614468",
            "telephone_number": "850-659-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 BAY BRIDGE DR",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325614468",
            "telephone_number": "850-659-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRSTLIGHT HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-12",
        "last_updated": "2016-10-12",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "LANCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-240-8578"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Exos - Athletes' Performance Florida LLC
• Tracy A Ezelle, ARNP
• Mary Margaret Fabian
• Paraschiva Farness
• Surgey Figueroa, LMHC
• FL Hud Baybreeze, LLC
• Martine Flake, BCABA
• Angel Elaine Fleenor, MA
• Hollie Shelton Fletcher, PHARM.D.
• Carrie Lyn Fleury, LPC

• All providers in Gulf Breeze, FL
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2016; 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.