Organization Active NPI

Lighthouse of Broward County, Inc.

Doing business as Lighthouse of Broward

  • In Home Supportive Care Agency
  • Fort Lauderdale, FL
National Provider Identifier
1932336187
Registry record updated Jun 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
LIGHTHOUSE OF BROWARD COUNTY, INC.
Doing business as
Lighthouse of Broward
Practice address
650 N Andrews Ave
Fort Lauderdale, FL 33311-7436
Phone
(954) 463-4217
Fax
(954) 764-3825
NPI assigned
Jun 15, 2009
Last updated
Jun 15, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2009

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

Authorized official

Name
Dr. Elly Du Pre, DPA
Title
Executive Director
Phone
(954) 463-4217

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X FL Primary

Addresses

Primary practice location

650 N Andrews Ave
Fort Lauderdale, FL 33311-7436

Mailing address

650 N Andrews Ave
Fort Lauderdale, FL 33311-7436
Phone (954) 463-4217

Other names 1

  • Lighthouse of Broward Doing business as

National Provider Directory

National Provider Directory

Locations

650 N Andrews Ave
Ft Lauderdale, FL 33311
Phone (954) 463-4213

NPI Registry JSON

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

{
    "created_epoch": "1245024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245024000000",
    "number": "1932336187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 N ANDREWS AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333117436",
            "telephone_number": "954-463-4217",
            "fax_number": "954-764-3825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 N ANDREWS AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333117436",
            "telephone_number": "954-463-4217",
            "fax_number": "954-764-3825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE OF BROWARD COUNTY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-15",
        "last_updated": "2009-06-15",
        "status": "A",
        "authorized_official_last_name": "DU PRE",
        "authorized_official_first_name": "ELLY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "954-463-4217",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPA"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lighthouse of Broward",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2009; 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.