Organization Active NPI

Candlelight Compassions LLC

  • PACE Provider Organization
  • Bay Minette, AL
National Provider Identifier
1275053316
Registry record updated Jun 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PACE Provider OrganizationTaxonomy code 251T00000X
Legal business name
CANDLELIGHT COMPASSIONS LLC
Practice address
2400 S US Highway 31
Bay Minette, AL 36507-8227
Phone
(251) 975-0075
Fax
(251) 975-0076
NPI assigned
Jun 20, 2017
Last updated
Jun 20, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2017

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

Authorized official

Name
Ms. Lucille Diane Ankum
Title
C.E.O.
Phone
(251) 655-0503

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
PACE Provider Organization 251T00000X Primary
In Home Supportive Care Agency 253Z00000X
Respite Care 385H00000X

Addresses

Primary practice location

2400 S US Highway 31
Bay Minette, AL 36507-8227

Mailing address

PO Box 1211
Atmore, AL 36504-1211
Phone (251) 975-0075

National Provider Directory

National Provider Directory

Locations

2400 S US Highway 31
Bay Minette, AL 36507
Phone (251) 975-0075

NPI Registry JSON

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

{
    "created_epoch": "1497916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497916800000",
    "number": "1275053316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1211",
            "city": "ATMORE",
            "state": "AL",
            "postal_code": "365041211",
            "telephone_number": "251-975-0075",
            "fax_number": "251-975-0076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 S US HIGHWAY 31",
            "city": "BAY MINETTE",
            "state": "AL",
            "postal_code": "365078227",
            "telephone_number": "251-975-0075",
            "fax_number": "251-975-0076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANDLELIGHT COMPASSIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-20",
        "last_updated": "2017-06-20",
        "status": "A",
        "authorized_official_last_name": "ANKUM",
        "authorized_official_first_name": "LUCILLE",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "251-655-0503",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Minette, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2017; 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.