Organization Active NPI

Lighthouse Merrimack, LLC

  • Adult Day Care Clinic/Center
  • Salem, MA
National Provider Identifier
1659681864
Registry record updated Oct 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
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, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 21, 2010

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.