Organization Active NPI

Light House Living Services LLC

  • In Home Supportive Care Agency
  • Simpsonville, SC
National Provider Identifier
1417892522
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
LIGHT HOUSE LIVING SERVICES LLC
Practice address
524 S Main St
Simpsonville, SC 29681-3220
Phone
(917) 855-6102
NPI assigned
Apr 23, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Authorized official

Name
Tameka Dawson
Title
Owner
Phone
(917) 855-6102

Specialties & licenses 1

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

Addresses

Primary practice location

524 S Main St
Simpsonville, SC 29681-3220

Mailing address

524 S Main St
Simpsonville, SC 29681-3220

National Provider Directory

National Provider Directory

Locations

524 S Main St
Simpsonville, SC 29681
Phone (917) 855-6102

NPI Registry JSON

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

{
    "created_epoch": "1776902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776902400000",
    "number": "1417892522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 S MAIN ST",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296813220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 S MAIN ST",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296813220",
            "telephone_number": "917-855-6102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHT HOUSE LIVING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-23",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A",
        "authorized_official_last_name": "DAWSON",
        "authorized_official_first_name": "TAMEKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-855-6102"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simpsonville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; 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.