Lighthouse Primary Home Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

LIGHTHOUSE PRIMARY HOME CARE LLC

Doing business as

Lighthouse Primary Home Care

Practice address

1716 S San Marcos
Suite 27
San Antonio, TX 78207-7094

Phone

(210) 444-1825

Fax

(210) 223-9128

NPI assigned

Mar 19, 2012

Last updated

Mar 20, 2012By 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

Mr. Armando Natividad

Title

Ceo/Owner

Phone

(210) 444-1825

Specialties & licenses 2

Addresses

Other names 1

• Lighthouse Primary Home Care Doing business as

Locations

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

{
    "created_epoch": "1332115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332201600000",
    "number": "1851666200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1716 S SAN MARCOS",
            "address_2": "SUITE 27",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782077094",
            "telephone_number": "210-444-1825",
            "fax_number": "210-223-9128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1716 S SAN MARCOS",
            "address_2": "SUITE 27",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782077094",
            "telephone_number": "210-444-1825",
            "fax_number": "210-223-9128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE PRIMARY HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-19",
        "last_updated": "2012-03-20",
        "status": "A",
        "authorized_official_last_name": "NATIVIDAD",
        "authorized_official_first_name": "ARMANDO",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "210-444-1825",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lighthouse Primary Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Lydia Liguez
• Lijuan Tong MD PA

• Home Health Agency in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2012; 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.