Active NPI
Beacon of Light Care LLC
- In Home Supportive Care Agency
- Michigan City, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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, 2025
- 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
- Latisha Kendle
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300055484 | Medicaid | IN |
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 |
|---|---|---|---|
| 15D2268757 | Beacon of Light Care LLC | Certificate of waiver | Sep 15, 2026 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Personal Care Attendant
- Michigan City, IN
- NPI 1568289817
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.