Lighthouse of Columbus, Inc.

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

LIGHTHOUSE OF COLUMBUS, INC.

Practice address

6634 Forrest Rd
Columbus, GA 31907-3037

Phone

(706) 442-7783

NPI assigned

Mar 30, 2020

Organization subpart

No

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

Authorized official

Name

Patrena Patrick

Title

Owner

Phone

(706) 442-7783

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1585526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585526400000",
    "number": "1659909182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6634 FORREST RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319073037",
            "telephone_number": "706-442-7783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6634 FORREST RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319073037",
            "telephone_number": "706-442-7783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE OF COLUMBUS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-30",
        "last_updated": "2020-03-30",
        "certification_date": "2020-03-30",
        "status": "A",
        "authorized_official_last_name": "PATRICK",
        "authorized_official_first_name": "PATRENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-442-7783"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "OFFICE",
            "affiliation": "N",
            "endpointDescription": "OFFICE",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "COLUMBUS",
            "address_1": "6634 Forrest Rd",
            "city": "Columbus",
            "state": "GA",
            "country_code": "US",
            "postal_code": "319073037",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2020; 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.