Lighthouse Concierge LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

L1805 Issued in MI

Legal business name

LIGHTHOUSE CONCIERGE LLC

Practice address

505 Pleasant St
Suite 206
Saint Joseph, MI 49085-1236

Phone

(860) 857-2567

NPI assigned

Apr 18, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Shaymus Daniel McTeague

Title

Coo

Phone

(860) 857-2567

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1492473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492473600000",
    "number": "1699209460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 PLEASANT ST",
            "address_2": "SUITE 206",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490851236",
            "telephone_number": "860-857-2567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 PLEASANT ST",
            "address_2": "SUITE 206",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490851236",
            "telephone_number": "860-857-2567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE CONCIERGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-18",
        "last_updated": "2017-04-18",
        "status": "A",
        "authorized_official_last_name": "MCTEAGUE",
        "authorized_official_first_name": "SHAYMUS",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "860-857-2567",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "MI",
            "license": "L1805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Saint Joseph, MI
• Providers in Saint Joseph, MI by specialty
• Non-emergency Medical Transport (VAN) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2017; 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.