Lighthouse Caregivers

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

LIGHTHOUSE CAREGIVERS

Practice address

88 N Hill Dr
Suite C
Brisbane, CA 94005-1200

Phone

(800) 604-6944

Fax

(888) 767-7044

NPI assigned

Mar 24, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Gertrude Joy Lardizabal Clark

Title

Owner

Phone

(800) 604-6944

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1269388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269388800000",
    "number": "1396069068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 N HILL DR",
            "address_2": "SUITE C",
            "city": "BRISBANE",
            "state": "CA",
            "postal_code": "940051200",
            "telephone_number": "800-604-6944",
            "fax_number": "888-767-7044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 N HILL DR",
            "address_2": "SUITE C",
            "city": "BRISBANE",
            "state": "CA",
            "postal_code": "940051200",
            "telephone_number": "800-604-6944",
            "fax_number": "888-767-7044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE CAREGIVERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-24",
        "last_updated": "2010-03-24",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "GERTRUDE JOY",
        "authorized_official_middle_name": "LARDIZABAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "800-604-6944",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Brisbane, CA
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• In Home Supportive Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2010; 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.