Active NPI
Lighthouse Merrimack, LLC
- Adult Day Care Clinic/Center
- Salem, MA
National Provider Identifier
1659681864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- Legal business name
- LIGHTHOUSE MERRIMACK, LLC
- Practice address
- 121 Loring Ave
Suite 820
Salem, MA 01970-4461 - Phone
- (978) 745-8505
- Fax
- (978) 745-8503
- NPI assigned
- Oct 21, 2010
- Organization subpart
- Yes
- Parent organization
- LIGHTHOUSE SENIOR CARE, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Richard C Bane
- Title
- President/Ceo
- Phone
- (978) 745-8505
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | Primary |
Addresses
Primary practice location
121 Loring Ave
Suite 820
Salem, MA 01970-4461
Mailing address
121 Loring Ave
Suite 820
Salem, MA 01970-4461
Phone (978) 745-8505
National Provider Directory
National Provider DirectoryLocations
121 Loring Ave
Ste 820
Salem, MA 01970
Phone (978) 745-8505
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287619200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1287619200000",
"number": "1659681864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 LORING AVE",
"address_2": "SUITE 820",
"city": "SALEM",
"state": "MA",
"postal_code": "019704461",
"telephone_number": "978-745-8505",
"fax_number": "978-745-8503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 LORING AVE",
"address_2": "SUITE 820",
"city": "SALEM",
"state": "MA",
"postal_code": "019704461",
"telephone_number": "978-745-8505",
"fax_number": "978-745-8503"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIGHTHOUSE MERRIMACK, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LIGHTHOUSE SENIOR CARE, LLC",
"enumeration_date": "2010-10-21",
"last_updated": "2010-10-21",
"status": "A",
"authorized_official_last_name": "BANE",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "978-745-8505",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salem, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.