Lighthouse Health Plan, LLC

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

LIGHTHOUSE HEALTH PLAN, LLC

Practice address

700 E Gregory St
Pensacola, FL 32502-4142

Phone

(850) 908-3001

NPI assigned

Oct 12, 2018

Organization subpart

No

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

Authorized official

Name

Scott Metheny

Title

Cfo

Phone

(850) 908-3001

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1539302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539302400000",
    "number": "1285109587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E GREGORY ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325024142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E GREGORY ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325024142",
            "telephone_number": "850-908-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE HEALTH PLAN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-12",
        "last_updated": "2018-10-12",
        "status": "A",
        "authorized_official_last_name": "METHENY",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "850-908-3001"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1001225-02",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1001225-01",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lifeguard Air Ambulance, Inc
• Lifeguard International
• Lifeline Pensacola, LLC
• Lynn E Lightfoot, PH.D.
• Susan W Lightfoot, MHC
• Lil Dental, P.a.
• William R Lile, DO
• Rachel Elizabeth Lill
• John S Lilly, RN
• Mary Kathryn Lilly, APRN

• Health Maintenance Organization in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Health Maintenance Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2018; 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.