Organization Active NPI

Light of Life Home Care Agency

  • Home Health Aide
  • Goldsboro, NC
National Provider Identifier
1649135708
Registry record updated Dec 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Legal business name
LIGHT OF LIFE HOME CARE AGENCY
Practice address
2101 N Berkeley Blvd
Goldsboro, NC 27534-8238
Phone
(919) 988-2030
NPI assigned
Dec 22, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2025

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

Authorized official

Name
Lynetta Tiaona CharlesNPI 1871397190
Title
Owner
Phone
(919) 988-2030

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
Home Health AideGroup: 193200000X MULTI-SPECIALTY GROUP 374U00000X Primary

Addresses

Primary practice location

2101 N Berkeley Blvd
Goldsboro, NC 27534-8238

Mailing address

2101 N Berkeley Blvd
Goldsboro, NC 27534-8238
Phone (919) 988-2030

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": "1766361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766361600000",
    "number": "1649135708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 N BERKELEY BLVD",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275348238",
            "telephone_number": "919-988-2030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 N BERKELEY BLVD",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275348238",
            "telephone_number": "919-988-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHT OF LIFE HOME CARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-22",
        "last_updated": "2025-12-22",
        "certification_date": "2025-12-21",
        "status": "A",
        "authorized_official_last_name": "CHARLES",
        "authorized_official_first_name": "LYNETTA",
        "authorized_official_middle_name": "TIAONA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-988-2030"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goldsboro, NC

Sources for this page

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