Organization Active NPI

Light and Life Home Care LLC

  • Home Health Agency
  • Union, NJ
National Provider Identifier
1720832843
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LIGHT AND LIFE HOME CARE LLC
Practice address
362 Lum Ave
Union, NJ 07083-7515
Phone
(917) 544-4180
NPI assigned
Apr 15, 2024
Last updated
Apr 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

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

Authorized official

Name
Mrs. Ivy Lualhati Reyes
Title
Owner/Founder/Administrator
Phone
(917) 544-4180

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

362 Lum Ave
Union, NJ 07083-7515

Mailing address

362 Lum Ave
Union, NJ 07083-7515
Phone (917) 544-4180

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1713139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713139200000",
    "number": "1720832843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "362 LUM AVE",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070837515",
            "telephone_number": "917-544-4180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "362 LUM AVE",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070837515",
            "telephone_number": "917-544-4180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHT AND LIFE HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-15",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "IVY",
        "authorized_official_middle_name": "LUALHATI",
        "authorized_official_title_or_position": "OWNER/FOUNDER/ADMINISTRATOR",
        "authorized_official_telephone_number": "917-544-4180",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; 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.