NPIMap

Organization Active NPI

The Light House-Gift of Life, Inc.

  • In Home Supportive Care Agency
  • La Plata, MD
National Provider Identifier
1770852444
Registry record updated Mar 9, 2012
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Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
LP33111 Issued in MD
Legal business name
THE LIGHT HOUSE-GIFT OF LIFE, INC.
Practice address
203 Centennial Street
Suite 101
La Plata, MD 20646
Phone
(301) 934-3683
Fax
(301) 934-3785
NPI assigned
Dec 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2012

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

Authorized official

Name
Sonja Hall Mahoney
Title
Founder Executive Director
Phone
(301) 690-2029

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X LP33111 MD Primary

Addresses

Primary practice location

203 Centennial Street
Suite 101
La Plata, MD 20646

Mailing address

PO Box 157
Newburg, MD 20664-0157
Phone (301) 934-3683

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1324598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331251200000",
    "number": "1770852444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 157",
            "city": "NEWBURG",
            "state": "MD",
            "postal_code": "206640157",
            "telephone_number": "301-934-3683",
            "fax_number": "301-934-3785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 CENTENNIAL STREET",
            "address_2": "SUITE 101",
            "city": "LA PLATA",
            "state": "MD",
            "postal_code": "20646",
            "telephone_number": "301-934-3683",
            "fax_number": "301-934-3785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LIGHT HOUSE-GIFT OF LIFE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-23",
        "last_updated": "2012-03-09",
        "status": "A",
        "authorized_official_last_name": "HALL MAHONEY",
        "authorized_official_first_name": "SONJA",
        "authorized_official_title_or_position": "FOUNDER  EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "301-690-2029"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MD",
            "license": "LP33111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Plata, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2012; 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.