Organization Active NPI

House of Light Homecare Services LLC

  • In Home Supportive Care Agency
  • South Bend, IN
National Provider Identifier
1639050677
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
HOUSE OF LIGHT HOMECARE SERVICES LLC
Practice address
3923 Irish Hills Dr Apt 2a
South Bend, IN 46614-6537
Phone
(619) 302-9385
NPI assigned
Sep 8, 2025
Last updated
Sep 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Authorized official

Name
Chimwemwe ChigambaNPI 1306726401
Title
Managaer
Phone
(619) 302-9385

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

3923 Irish Hills Dr Apt 2a
South Bend, IN 46614-6537

Mailing address

3923 Irish Hills Dr Apt 2a
South Bend, IN 46614-6537
Phone (619) 302-9385

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1757289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757289600000",
    "number": "1639050677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3923 IRISH HILLS DR APT 2A",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466146537",
            "telephone_number": "619-302-9385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3923 IRISH HILLS DR APT 2A",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466146537",
            "telephone_number": "619-302-9385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSE OF LIGHT HOMECARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-08",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A",
        "authorized_official_last_name": "CHIGAMBA",
        "authorized_official_first_name": "CHIMWEMWE",
        "authorized_official_title_or_position": "MANAGAER",
        "authorized_official_telephone_number": "619-302-9385"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Bend, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; 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.