Organization Active NPI

Lightshine Home Care, Inc.

  • Assisted Living Facility
  • Upland, CA
National Provider Identifier
1891680096
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
LIGHTSHINE HOME CARE, INC.
Practice address
1400 Purdue St
Upland, CA 91786-2556
Phone
(626) 893-5624
Fax
(626) 893-5624
NPI assigned
Jun 10, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Authorized official

Name
Mrs. Abigail Navarro Del Puerto
Title
Owner/Administrator
Phone
(626) 893-5624

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

1400 Purdue St
Upland, CA 91786-2556

Mailing address

1400 Purdue St
Upland, CA 91786-2556
Phone (626) 893-5624

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1749513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749513600000",
    "number": "1891680096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 PURDUE ST",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917862556",
            "telephone_number": "626-893-5624",
            "fax_number": "626-893-5624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 PURDUE ST",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917862556",
            "telephone_number": "626-893-5624",
            "fax_number": "626-893-5624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTSHINE HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-10",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A",
        "authorized_official_last_name": "DEL PUERTO",
        "authorized_official_first_name": "ABIGAIL",
        "authorized_official_middle_name": "NAVARRO",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "626-893-5624",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; 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.