Lighthouse Healthcare Management South LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL7127 Issued in FL

Legal business name

LIGHTHOUSE HEALTHCARE MANAGEMENT SOUTH LLC

Practice address

3305 SE 5TH St
Pompano Beach, FL 33062-5509

Phone

(954) 785-7763

NPI assigned

Nov 26, 2014

Last updated

Nov 26, 2014By 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

Samuel Tennenbaum

Title

Cfo

Phone

(212) 616-8819

Specialties & licenses 1

Addresses

Other names 1

• Lighthouse Inn South Other name

Locations

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

{
    "created_epoch": "1416960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416960000000",
    "number": "1619374147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 MADISON AVE",
            "address_2": "19TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100223301",
            "telephone_number": "212-616-8819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3305 SE 5TH ST",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330625509",
            "telephone_number": "954-785-7763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE HEALTHCARE MANAGEMENT SOUTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-26",
        "last_updated": "2014-11-26",
        "status": "A",
        "authorized_official_last_name": "TENNENBAUM",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "212-616-8819"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL7127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lighthouse Inn South",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Assisted Living Facility in Pompano Beach, FL
• Providers in Pompano Beach, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2014; 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.