NPIMap

Organization Active NPI

Lite House Inc

  • Community/Behavioral Health Agency
  • Southern Pines, NC
National Provider Identifier
1528190386
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LITE HOUSE INC
Practice address
26 Pinecrest PLZ
#126
Southern Pines, NC 28387-4301
Phone
(910) 693-9903
NPI assigned
Mar 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
K. Celeste Kimbrough
Title
Director
Phone
(910) 693-9903

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

26 Pinecrest PLZ
#126
Southern Pines, NC 28387-4301

Mailing address

120 W Pennsylvania Ave
Suite 27
Southern Pines, NC 28387-5429
Phone (910) 693-9903

Other identifiers 2

IdentifierTypeStateIssuer
3418042MedicaidNC
8301495MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Lite House Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

120 W Pennsylvania Ave
Ste 27
Southern Pines, NC 28387

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528190386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W PENNSYLVANIA AVE",
            "address_2": "SUITE 27",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283875429",
            "telephone_number": "910-693-9903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 PINECREST PLZ",
            "address_2": "#126",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283874301",
            "telephone_number": "910-693-9903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITE HOUSE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIMBROUGH",
        "authorized_official_first_name": "K.",
        "authorized_official_middle_name": "CELESTE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "910-693-9903"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3418042",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301495",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southern Pines, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.