Lighthouse Afch

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

6906928 Issued in FL

Legal business name

LIGHTHOUSE AFCH

Practice address

739 East Blvd
Chipley, FL 32428-2026

Phone

(850) 600-7082

NPI assigned

Dec 4, 2017

Last updated

Dec 4, 2017By 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

Alex Bellamy

Title

Owner

Phone

(850) 600-7082

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1512345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512345600000",
    "number": "1447765177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "739 EAST BLVD",
            "city": "CHIPLEY",
            "state": "FL",
            "postal_code": "324282026",
            "telephone_number": "850-600-7082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "739 EAST BLVD",
            "city": "CHIPLEY",
            "state": "FL",
            "postal_code": "324282026",
            "telephone_number": "850-600-7082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE AFCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-04",
        "last_updated": "2017-12-04",
        "status": "A",
        "authorized_official_last_name": "BELLAMY",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-600-7082"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "FL",
            "license": "6906928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ramona Hester King, PHARMD
• Freddie A Kolmetz, PT
• Gerald Guy Lachance, DO
• Kaliegh Payne Laurel, DPT
• Lorrie Ann Laurel, P.T.
• Allison Forehand Locke, ARNP-C
• Marianne Murphy Long
• Ashley Nicole Lovering, PHARMD
• LP Chipley LLC (Washington Rehabilitation & Nursing Center)
• Deborah K Maqueira, LMHC

• Adult Care Home Facility in Chipley, FL
• Providers in Chipley, FL by specialty
• Adult Care Home Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2017; 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.