Light of Hope Behavior Therapy Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

LIGHT OF HOPE BEHAVIOR THERAPY INC

Doing business as

Light of Hope Medical Center

Practice address

15190 SW 136TH St Ste 26-27
Miami, FL 33196-2604

Phone

(786) 404-1008

Fax

(305) 747-7166

NPI assigned

Jun 20, 2022

Last updated

Jun 14, 2023By 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

Tania H Perez Gonzalez

Title

Ceo

Phone

(786) 404-1008

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Light of Hope Medical Center Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Tax ID family

Light of Hope Behavior Therapy Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

• Light of Hope Behavior Therapy Inc

  • Adolescent and Children Mental Health Clinic/Center
  • Miami, FL
  • NPI 1124987847
  NPD tax ID
• Light of Hope Behavior Therapy Inc

  • Contractor
  • Miami, FL
  • NPI 1356216725
  NPD tax ID
• Light of Hope Behavior Therapy Inc

  dba Light of Hope Medical Center

  • Clinic/Center
  • Miami, FL
  • NPI 1407646052
  NPD tax ID
• Light of Hope Behavior Therapy Inc

  • In Home Supportive Care Agency
  • Miami, FL
  • NPI 1972279792
  NPD tax ID

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Luis Alain Caceres de Armas, F10221382

  • Primary Care Nurse Practitioner
  • Miami, FL
  • NPI 1922715978
  Medicare reassignment NPD
• Damisela Amador Jimenez, ARNP

  • Family Nurse Practitioner
  • Plantation, FL
  • NPI 1124527734

  Single Specialty

  NPD (past)
• Lianne Blanco Sanchez, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Doral, FL
  • NPI 1538767157
  NPD (past)

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

{
    "created_epoch": "1655683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686700800000",
    "number": "1811628951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15190 SW 136TH ST STE 26",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331962618",
            "telephone_number": "786-404-1008",
            "fax_number": "305-747-7166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15190 SW 136TH ST STE 26-27",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331962604",
            "telephone_number": "786-404-1008",
            "fax_number": "305-747-7166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHT OF HOPE BEHAVIOR THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-20",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A",
        "authorized_official_last_name": "PEREZ GONZALEZ",
        "authorized_official_first_name": "TANIA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-404-1008"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115780900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Light of Hope Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Light Houses Behavior and Habilitation Services
• Light of Hope Behavior Therapy Inc
• Light of Hope Behavior Therapy Inc
• Light of Hope Behavior Therapy Inc
• Light of Hope Behavior Therapy Inc (Light of Hope Medical Center)
• Light of Hope Behavior Therapy Inc
• Taylor Morgan Light, DDS
• Theresa Lightbody, A.R.N.P.
• Shaleshanda Lightbourne, PHARM.D.
• Lighthouse Care Registry LLC

• Primary Care Clinic/Center in Miami, FL
• Providers in Miami, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.