Organization Active NPI

First Light Home Care

  • Home Health Agency
  • Deland, FL
National Provider Identifier
1548024078
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
FIRST LIGHT HOME CARE
Practice address
112 W Indiana Ave
Deland, FL 32720-4224
Phone
(386) 847-7048
NPI assigned
Feb 6, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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

Authorized official

Name
Mr. John Thomas Bordas
Title
Franchisee
Phone
(386) 847-7048

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

112 W Indiana Ave
Deland, FL 32720-4224

Mailing address

135 Lake Charles Rd
Deland, FL 32724-4804
Phone (386) 847-7048

National Provider Directory

National Provider Directory

Locations

112 W Indiana Ave
Deland, FL 32720
Phone (386) 847-7048

NPI Registry JSON

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

{
    "created_epoch": "1707177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707177600000",
    "number": "1548024078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 LAKE CHARLES RD",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327244804",
            "telephone_number": "386-847-7048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 W INDIANA AVE",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327204224",
            "telephone_number": "386-847-7048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST LIGHT HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-06",
        "last_updated": "2024-02-06",
        "certification_date": "2024-01-17",
        "status": "A",
        "authorized_official_last_name": "BORDAS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "FRANCHISEE",
        "authorized_official_telephone_number": "386-847-7048",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; 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.