Lighthouse Medical Supply LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

LIGHTHOUSE MEDICAL SUPPLY LLC

Practice address

1700 N Dixie Hwy
Ste 114
Boca Raton, FL 33432

Phone

(888) 275-5636

NPI assigned

Sep 24, 2018

Organization subpart

No

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

Authorized official

Name

Paul Warran

Title

Member MGR/Owner

Phone

(561) 215-5067

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1537747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548201600000",
    "number": "1780168831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 N DIXIE HWY",
            "address_2": "STE 114",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33432",
            "telephone_number": "888-275-5636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 N DIXIE HWY",
            "address_2": "STE 114",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33432",
            "telephone_number": "888-275-5636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-24",
        "last_updated": "2019-01-23",
        "status": "A",
        "authorized_official_last_name": "WARRAN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "MEMBER MGR/OWNER",
        "authorized_official_telephone_number": "561-215-5067"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lifestore Medical Supply, LLC
• Lifestyle Dental Group
• Lifestyle Therapeutics LLC
• Lifetime Health Services Inc
• Ruth B Light, PT
• Lighthouse Orthopaedic Associates
• Lighthouse Renal Group PA
• Valenso Lilavois, APRN
• Liliana Forero LLC
• Lilly Pads ABA Therapy Corp

• Durable Medical Equipment & Medical Supplies in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; 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.