Organization Active NPI

The Lighthouse Enrichment Services, LLC

  • Home Health Agency
  • Lawrenceville, GA
National Provider Identifier
1831571322
Registry record updated Apr 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
THE LIGHTHOUSE ENRICHMENT SERVICES, LLC
Practice address
2695 Sugarloaf Pkwy Ste 1000
Lawrenceville, GA 30045-9459
Phone
(678) 691-3194
NPI assigned
Jun 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2021

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

Authorized official

Name
Mara Luz Perez
Title
Cfo
Phone
(678) 691-3194

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X
Home Health Agency 251E00000X Primary
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

2695 Sugarloaf Pkwy Ste 1000
Lawrenceville, GA 30045-9459

Mailing address

2695 Sugarloaf Pkwy Ste 1000
Lawrenceville, GA 30045-9459
Phone (678) 691-3194

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address services@lhservice.net Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

2399 Lawrenceville Hwy
Ste 6
Lawrenceville, GA 30044
Phone (770) 558-3825

2695 Sugarloaf Pkwy
Ste 1000
Lawrenceville, GA 30045
Phone (678) 691-3194

NPI Registry JSON

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

{
    "created_epoch": "1434931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619568000000",
    "number": "1831571322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2695 SUGARLOAF PKWY STE 1000",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300459459",
            "telephone_number": "678-691-3194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2695 SUGARLOAF PKWY STE 1000",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300459459",
            "telephone_number": "678-691-3194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LIGHTHOUSE ENRICHMENT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-22",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "MARA",
        "authorized_official_middle_name": "LUZ",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "678-691-3194"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "services@lhservice.net",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2695 Sugarloaf Pkwy Ste 1000",
            "city": "Lawrenceville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300459459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; 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.