Lighthouse Residential Care Home LLC.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

LIGHTHOUSE RESIDENTIAL CARE HOME LLC.

Practice address

165 Lenox CT
Hiram, GA 30141-4563

Phone

(678) 207-8397

NPI assigned

Mar 28, 2025

Organization subpart

No

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

Authorized official

Name

Monica Williams, RNNPI 1184349490

Title

Nurse Manager

Phone

(678) 207-8397

Specialties & licenses 2

Addresses

Practitioners 1

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

• Monica I Williams, RN

  • Registered Nurse
  • Hiram, GA
  • NPI 1184349490
  NPD Authorized official

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

{
    "created_epoch": "1743120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743120000000",
    "number": "1194528950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 LENOX CT",
            "city": "HIRAM",
            "state": "GA",
            "postal_code": "301414563",
            "telephone_number": "678-207-8397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 LENOX CT",
            "city": "HIRAM",
            "state": "GA",
            "postal_code": "301414563",
            "telephone_number": "678-207-8397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE RESIDENTIAL CARE HOME LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-28",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "NURSE MANAGER",
        "authorized_official_telephone_number": "678-207-8397",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leche and Smiles
• Yong S. Lee, MD
• Legacy Counseling Centers
• Marcia Levy
• Life Poured Out Services, Inc.
• Gracie Lingold, RDN
• Tamara Dawn Lively, M.A., LPC
• Living Beyond LLC
• Liz Moon LLC
• Chris Dana Lockerman, D.C.

• In Home Supportive Care Agency in Hiram, GA
• Providers in Hiram, GA by specialty
• In Home Supportive Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.