Shepherds Lighthouse, Inc.

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Legal business name

SHEPHERDS LIGHTHOUSE, INC.

Practice address

5930 SE Robinson Rd
Belleview, FL 34420-3310

Phone

(352) 347-6575

Fax

(352) 347-1775

NPI assigned

Jun 22, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Yolanda Lynn East

Title

Executive Director

Phone

(352) 347-6575

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770789232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5930 SE ROBINSON RD",
            "city": "BELLEVIEW",
            "state": "FL",
            "postal_code": "344203310",
            "telephone_number": "352-347-6575",
            "fax_number": "352-347-1775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5930 SE ROBINSON RD",
            "city": "BELLEVIEW",
            "state": "FL",
            "postal_code": "344203310",
            "telephone_number": "352-347-6575",
            "fax_number": "352-347-1775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEPHERDS LIGHTHOUSE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EAST",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "352-347-6575",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis R Seese, DC
• Karl Patrick Segler, RN
• James Charles Seymore, M.D.
• Sharon's Haven Inc
• Ashlynn Shearer
• Cynthia Simmons, CNA
• James L Simpson, PT
• Harriett Williemae Smith-McKinney, PA-C
• Hunter Smith
• Stacey Smith, PHARMD

• Case Manager/Care Coordinator in Belleview, FL
• Providers in Belleview, FL by specialty
• Case Manager/Care Coordinator in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.