Place of Grace LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PLACE OF GRACE LLC

Doing business as

Lighthouse Home Health Agency

Practice address

1655 E Caro Rd
Caro, MI 48723-9319

Phone

(989) 673-2500

Fax

(989) 673-0232

NPI assigned

Apr 7, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Dorothea Wilson

Title

Ceo

Phone

(989) 673-2500

Specialties & licenses 1

Addresses

Other names 1

• Lighthouse Home Health Agency Doing business as

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

{
    "created_epoch": "1302134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302134400000",
    "number": "1407146756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1655 E CARO RD",
            "city": "CARO",
            "state": "MI",
            "postal_code": "487239319",
            "telephone_number": "989-673-2500",
            "fax_number": "989-673-0232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 E CARO RD",
            "city": "CARO",
            "state": "MI",
            "postal_code": "487239319",
            "telephone_number": "989-673-2500",
            "fax_number": "989-673-0232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLACE OF GRACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-07",
        "last_updated": "2011-04-07",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "DOROTHEA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "989-673-2500",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lighthouse Home Health Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Caro, MI
• Providers in Caro, MI by specialty
• Home Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2011; 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.