Organization Active NPI

Beacon of Light Care LLC

  • In Home Supportive Care Agency
  • Michigan City, IN
National Provider Identifier
1821742438
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
BEACON OF LIGHT CARE LLC
Practice address
2424 Franklin St # 203
Michigan City, IN 46360-4562
Phone
(219) 292-7555
Fax
(219) 814-4941
NPI assigned
Feb 11, 2022
Last updated
Dec 30, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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

Authorized official

Name
Latisha KendleNPI 1568289817
Title
Manager
Phone
(219) 292-7555

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)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

2424 Franklin St # 203
Michigan City, IN 46360-4562

Mailing address

2424 Franklin St # 203
Michigan City, IN 46360-4562
Phone (219) 292-7555

Other identifiers 1

IdentifierTypeStateIssuer
300055484MedicaidIN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D2268757Beacon of Light Care LLC2424 Franklin Street Suite 101, Michigan City, IN 46360Certificate of waiverSep 15, 2026

National Provider Directory

National Provider Directory

Locations

2424 Franklin St
#203
Michigan City, IN 46360
Phone (219) 292-7555

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1644537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767052800000",
    "number": "1821742438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 FRANKLIN ST # 203",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463604562",
            "telephone_number": "219-292-7555",
            "fax_number": "219-814-4941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 FRANKLIN ST # 203",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463604562",
            "telephone_number": "219-292-7555",
            "fax_number": "219-814-4941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON OF LIGHT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-11",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A",
        "authorized_official_last_name": "KENDLE",
        "authorized_official_first_name": "LATISHA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "219-292-7555"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300055484",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Michigan City, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2025; 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.

Verify at the official NPI Registry.