NPIMap

Organization Active NPI

Lighthouse Ministries Provider Care Service, Inc.

  • Nursing Care Agency
  • Shreveport, LA
National Provider Identifier
1346412202
Registry record updated Mar 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
46701 Issued in LA
Legal business name
LIGHTHOUSE MINISTRIES PROVIDER CARE SERVICE, INC.
Practice address
7505 Pines Rd
Suite #1170
Shreveport, LA 71129-3935
Phone
(318) 688-4260
Fax
(318) 688-4261
NPI assigned
Mar 31, 2008
Organization subpart
Yes
Parent organization
CHURCH IN JESUS CHRISTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 31, 2008

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

Authorized official

Name
Mrs. Karen Watkins Beaner, RN
Title
Program Director
Phone
(318) 688-4260

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X 46701 LA Primary

Addresses

Primary practice location

7505 Pines Rd
Suite #1170
Shreveport, LA 71129-3935

Mailing address

7505 Pines Rd
Suite #1170
Shreveport, LA 71129-3935
Phone (318) 688-4260

National Provider Directory

National Provider Directory
Tax ID family
Lighthouse Ministries Provider Care Service Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206921600000",
    "number": "1346412202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7505 PINES RD",
            "address_2": "SUITE #1170",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711293935",
            "telephone_number": "318-688-4260",
            "fax_number": "318-688-4261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7505 PINES RD",
            "address_2": "SUITE #1170",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711293935",
            "telephone_number": "318-688-4260",
            "fax_number": "318-688-4261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE MINISTRIES PROVIDER CARE SERVICE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHURCH IN JESUS CHRIST",
        "enumeration_date": "2008-03-31",
        "last_updated": "2008-03-31",
        "status": "A",
        "authorized_official_last_name": "BEANER",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "WATKINS",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "318-688-4260",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "LA",
            "license": "46701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.