NPIMap

Organization Active NPI

Lighthouse Home Health Care, Inc.

  • Home Health Agency
  • Fort Pierce, FL
National Provider Identifier
1174786701
Registry record updated Jul 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
30211217 Issued in FL
Legal business name
LIGHTHOUSE HOME HEALTH CARE, INC.
Practice address
800 Virginia Ave
S38K
Fort Pierce, FL 34982-5829
Phone
(772) 466-9199
Fax
(772) 466-4776
NPI assigned
Jul 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2008

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

Authorized official

Name
Ms. Chrystal Lynn Baker
Title
Administrator
Phone
(772) 466-9199

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 30211217 FL Primary

Addresses

Primary practice location

800 Virginia Ave
S38K
Fort Pierce, FL 34982-5829

Mailing address

800 Virginia Ave
S38K
Fort Pierce, FL 34982-5829
Phone (772) 466-9199

Other identifiers 3

IdentifierTypeStateIssuer
1891839437MedicaidFL
1073657169MedicaidFL
1578774543MedicaidFL

Other names 1

  • Lighthouse Home Care Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Lighthouse Home Care5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

800 Virginia Ave
#S38K
Fort Pierce, FL 34982
Phone (772) 466-9199

NPI Registry JSON

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215043200000",
    "number": "1174786701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 VIRGINIA AVE",
            "address_2": "S38K",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349825829",
            "telephone_number": "772-466-9199",
            "fax_number": "772-466-4776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 VIRGINIA AVE",
            "address_2": "S38K",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349825829",
            "telephone_number": "772-466-9199",
            "fax_number": "772-466-4776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-03",
        "last_updated": "2008-07-03",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "CHRYSTAL",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "772-466-9199",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "30211217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1891839437",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073657169",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1578774543",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lighthouse Home Care",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Fort Pierce, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; 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.