Home Light Senior Care Solutions, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

HOME LIGHT SENIOR CARE SOLUTIONS, LLC

Practice address

2976 Penwick LN
Suite 104E
Dunkirk, MD 20754-9486

Phone

(301) 873-1547

NPI assigned

Oct 26, 2016

Last updated

Oct 26, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Gary George Blancke Sr., CSCM

Title

Managing Partner

Phone

(301) 873-1547

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1477440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477440000000",
    "number": "1427500412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2976 PENWICK LN",
            "address_2": "SUITE 104E",
            "city": "DUNKIRK",
            "state": "MD",
            "postal_code": "207549486",
            "telephone_number": "301-873-1547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2976 PENWICK LN",
            "address_2": "SUITE 104E",
            "city": "DUNKIRK",
            "state": "MD",
            "postal_code": "207549486",
            "telephone_number": "301-873-1547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME LIGHT SENIOR CARE SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-26",
        "last_updated": "2016-10-26",
        "status": "A",
        "authorized_official_last_name": "BLANCKE",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "301-873-1547",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "CSCM"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2016; 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.