NPIMap

Organization Active NPI

Lighthouse Health, Inc.

  • Home Health Agency
  • Pasadena, CA
National Provider Identifier
1851799779
Registry record updated Dec 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LIGHTHOUSE HEALTH, INC.
Practice address
140 S Lake Ave
Suite 254
Pasadena, CA 91101-4710
Phone
(626) 219-6348
Fax
(626) 219-6398
NPI assigned
Dec 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2014

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

Authorized official

Name
Gannon R Brown
Title
General Manager
Phone
(626) 379-8005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

140 S Lake Ave
Suite 254
Pasadena, CA 91101-4710

Mailing address

140 S Lake Ave
Suite 254
Pasadena, CA 91101-4710
Phone (626) 219-6348

Other names 1

  • Interim HealthCare of Pasadena Doing business as

National Provider Directory

National Provider Directory

Locations

140 S Lake Ave
Ste 254
Pasadena, CA 91101
Phone (626) 219-6348

NPI Registry JSON

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

{
    "created_epoch": "1418083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418083200000",
    "number": "1851799779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 S LAKE AVE",
            "address_2": "SUITE 254",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911014710",
            "telephone_number": "626-219-6348",
            "fax_number": "626-219-6398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 S LAKE AVE",
            "address_2": "SUITE 254",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911014710",
            "telephone_number": "626-219-6348",
            "fax_number": "626-219-6398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-09",
        "last_updated": "2014-12-09",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "GANNON",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "626-379-8005"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Interim HealthCare of Pasadena",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2014; 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.