Lighthouse Home Health Care

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HC3208 Issued in NC

Legal business name

LIGHTHOUSE HOME HEALTH CARE

Practice address

1381 Old Mill Cir
Suite 130
Winston Salem, NC 27103-1400

Phone

(336) 760-1812

Fax

(336) 760-1727

NPI assigned

Jan 24, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Shandra Cromartie

Title

Director of Operations

Phone

(336) 760-1812

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366597965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1381 OLD MILL CIR",
            "address_2": "SUITE 130",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031400",
            "telephone_number": "336-760-1812",
            "fax_number": "336-760-1727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1381 OLD MILL CIR",
            "address_2": "SUITE 130",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031400",
            "telephone_number": "336-760-1812",
            "fax_number": "336-760-1727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE HOME HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CROMARTIE",
        "authorized_official_first_name": "SHANDRA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "336-760-1812",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC3208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6601433",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lifting Hearts Homecare LLC
• Lake Hepburn Lige, MD
• Alyssa Basen Light, PA-C
• Morgan Elizabeth Light
• Lighthouse Home Care Agency LLC
• Jesse Jacob Lile, M.A.
• Penny Gayle Liles, LPC-A, CRC
• Alicia Lilly, RN, IBCLC
• Mary Lilly
• Toni Lucinda Lima, NP

• Home Health Agency in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Home Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.