Active NPI
Lighthouse Home Health Care, LLC
- Home Health Agency
- Old Saybrook, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- LIGHTHOUSE HOME HEALTH CARE, LLC
- Practice address
- 129 Main St
Old Saybrook, CT 06475-2377 - Phone
- (860) 395-2990
- Fax
- (860) 388-4300
- NPI assigned
- Apr 4, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Frank James Raccio Jr.
- Title
- Executive Director
- Phone
- (860) 395-2990
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
129 Main St
Old Saybrook, CT 06475-2377
Mailing address
129 Main St
Old Saybrook, CT 06475-2377
Phone (860) 447-2990
Other practice location 1
999 Oronoque Ln
Stratford, CT 06614-1379
Phone (203) 345-0220
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 07D2024461 | Lighthouse Home Health Care | Certificate of waiver | May 16, 2027 |
National Provider Directory
National Provider DirectoryLocations
999 Oronoque Ln
Fl 2
Stratford, CT 06614
Phone (203) 212-3585
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nursing Home Administrator
- Woodbridge, CT
- NPI 1295000313
-
- Psychiatric/Mental Health Nurse Practitioner
- Stratford, CT
- NPI 1285650622
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301875200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1524700800000",
"number": "1821387598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "129 MAIN ST",
"city": "OLD SAYBROOK",
"state": "CT",
"postal_code": "064752377",
"telephone_number": "860-447-2990",
"fax_number": "860-439-0219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "129 MAIN ST",
"city": "OLD SAYBROOK",
"state": "CT",
"postal_code": "064752377",
"telephone_number": "860-395-2990",
"fax_number": "860-388-4300"
}
],
"practiceLocations": [
{
"address_1": "999 Oronoque Ln",
"address_purpose": "LOCATION",
"city": "Stratford",
"state": "CT",
"postal_code": "066141379",
"country_code": "US",
"telephone_number": "203-345-0220",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "LIGHTHOUSE HOME HEALTH CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-04-04",
"last_updated": "2018-04-26",
"status": "A",
"authorized_official_last_name": "RACCIO",
"authorized_official_first_name": "FRANK",
"authorized_official_middle_name": "JAMES",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "860-395-2990",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Old Saybrook, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.