NPIMap

Organization Active NPI

Lighthouse Professional Staffing, Inc.

  • In Home Supportive Care Agency
  • Columbia, SC
National Provider Identifier
1376949297
Registry record updated Nov 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
LIGHTHOUSE PROFESSIONAL STAFFING, INC.
Practice address
4500 Fort Jackson Blvd
Columbia, SC 29209-1119
Phone
(803) 782-1008
NPI assigned
Nov 5, 2014
Organization subpart
Yes
Parent organization
LIGHTHOUSE STAFFING/CONSULTINGAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 5, 2014

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

Authorized official

Name
Myrtis D. ManigoNPI 1457757361
Title
President/Ceo
Phone
(803) 782-1008

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

4500 Fort Jackson Blvd
Columbia, SC 29209-1119

Mailing address

4500 Fort Jackson Blvd
Columbia, SC 29209-1119
Phone (803) 782-1008

Other identifiers 1

IdentifierTypeStateIssuer
EX1000OtherSCPERSONAL CARE PROVIDERS

National Provider Directory

National Provider Directory
Tax ID family
Lighthouse Professional Staffing Inc2 organizations share this tax ID, including this one
Part of
Lighthouse Professional Staffing Inc

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1415145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415145600000",
    "number": "1376949297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 FORT JACKSON BLVD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292091119",
            "telephone_number": "803-782-1008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 FORT JACKSON BLVD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292091119",
            "telephone_number": "803-782-1008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE PROFESSIONAL STAFFING, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIGHTHOUSE STAFFING/CONSULTING",
        "enumeration_date": "2014-11-05",
        "last_updated": "2014-11-05",
        "status": "A",
        "authorized_official_last_name": "MANIGO",
        "authorized_official_first_name": "MYRTIS",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "803-782-1008"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CARE PROVIDERS",
            "identifier": "EX1000",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2014; 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.