NPIMap

Organization Active NPI

Lighthouse Home Health Care, Inc.

  • Home Health Agency
  • Fort Pierce, FL
National Provider Identifier
1891839437
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
NR30211217 Issued in FL
Legal business name
LIGHTHOUSE HOME HEALTH CARE, INC.
Practice address
1805 S 25TH St Ste 1
Fort Pierce, FL 34947-4752
Phone
(772) 466-9199
Fax
(772) 466-4776
NPI assigned
Feb 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Chrystal Fassold
Title
Administrator
Phone
(772) 466-9199

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NR30211217 FL Primary

Addresses

Primary practice location

1805 S 25TH St Ste 1
Fort Pierce, FL 34947-4752

Mailing address

1805 S 25TH St Ste 1
Fort Pierce, FL 34947-4752
Phone (772) 466-9199

National Provider Directory

National Provider Directory
Tax ID family
Lighthouse Home Care5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1805 S 25th St
Ste 1
Fort Pierce, FL 34947
Phone (772) 466-9199

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891839437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 S 25TH ST STE 1",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349474752",
            "telephone_number": "772-466-9199",
            "fax_number": "772-466-4776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 S 25TH ST STE 1",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349474752",
            "telephone_number": "772-466-9199",
            "fax_number": "772-466-4776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FASSOLD",
        "authorized_official_first_name": "CHRYSTAL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "772-466-9199",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "NR30211217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.