Lighthouse Home Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

LIGHTHOUSE HOME CARE LLC

Practice address

455 Sam Barr Dr Ste 104
Kearney, MO 64060-9104

Phone

(816) 718-0535

NPI assigned

Nov 26, 2024

Last updated

Nov 26, 2024By 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

Maddie Diekmann

Title

Owner, President

Phone

(816) 718-0535

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1732579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732579200000",
    "number": "1649096488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 SAM BARR DR STE 104",
            "city": "KEARNEY",
            "state": "MO",
            "postal_code": "640609104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 SAM BARR DR STE 104",
            "city": "KEARNEY",
            "state": "MO",
            "postal_code": "640609104",
            "telephone_number": "816-718-0535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-26",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A",
        "authorized_official_last_name": "DIEKMANN",
        "authorized_official_first_name": "MADDIE",
        "authorized_official_title_or_position": "OWNER, PRESIDENT",
        "authorized_official_telephone_number": "816-718-0535"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Bradley Todd Kunkel, RPH
• Dawn M. Leibrandt, D.C.
• Cameron Callaway Lindsey, PHARM.D.
• Kelsey Danae Locke, PT, DPT
• Pamela Lombardo, DDS
• Fontelle Dee Long, PLPC
• Keri Elizabeth Lorbert

• In Home Supportive Care Agency in Kearney, MO
• Providers in Kearney, MO by specialty
• In Home Supportive Care Agency in Missouri

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