Lighthouse Home Care

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

LIGHTHOUSE HOME CARE

Practice address

1830 W University Ave
Lafayette, LA 70506-2544

Phone

(337) 233-1865

Fax

(337) 233-1881

NPI assigned

Jul 10, 2012

Last updated

Jul 10, 2012By the provider in NPPES

Organization subpart

Yes

Parent organization

LIGHTHOUSE HOME CARE LLCAs reported in NPPES

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

Authorized official

Name

Jack Koubi

Title

Managing Member

Phone

(337) 230-6008

Specialties & licenses 1

Addresses

Part of

Lighthouse Home Care

Locations

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

{
    "created_epoch": "1341878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341878400000",
    "number": "1861757338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 W UNIVERSITY AVE",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705062544",
            "telephone_number": "337-233-1865",
            "fax_number": "337-233-1881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 W UNIVERSITY AVE",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705062544",
            "telephone_number": "337-233-1865",
            "fax_number": "337-233-1881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE HOME CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIGHTHOUSE HOME CARE LLC",
        "enumeration_date": "2012-07-10",
        "last_updated": "2012-07-10",
        "status": "A",
        "authorized_official_last_name": "KOUBI",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "337-230-6008"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.