The Light Time Gift Health Care

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

001220301 Issued in MA

Legal business name

THE LIGHT TIME GIFT HEALTH CARE

Practice address

140 School St
Brockton, MA 02302-3114

Phone

(978) 876-1065

NPI assigned

Jun 11, 2016

Last updated

Jun 11, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Unuagbon Queensley Tobi

Title

Ceo

Phone

(978) 876-1065

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1465603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465603200000",
    "number": "1780033522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 SCHOOL ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023023114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 SCHOOL ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023023114",
            "telephone_number": "978-876-1065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LIGHT TIME GIFT HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-11",
        "last_updated": "2016-06-11",
        "status": "A",
        "authorized_official_last_name": "TOBI",
        "authorized_official_first_name": "UNUAGBON",
        "authorized_official_middle_name": "QUEENSLEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "978-876-1065"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MA",
            "license": "001220301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Brockton, MA
• Providers in Brockton, MA by specialty
• Home Health Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2016; 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.