NPIMap

Organization Active NPI

Lighthouse Healthcare Group LLC

  • Assisted Living Facility
  • Tampa, FL
National Provider Identifier
1972929347
Registry record updated Mar 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
9298 Issued in FL
Legal business name
LIGHTHOUSE HEALTHCARE GROUP LLC
Practice address
3720 W Bay to Bay Blvd
Tampa, FL 33629-6912
Phone
(813) 442-5492
NPI assigned
Mar 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2014

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

Authorized official

Name
Mr. Stuart Sebring Sierra Jr.
Title
President
Phone
(813) 442-5492

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 9298 FL Primary

Addresses

Primary practice location

3720 W Bay to Bay Blvd
Tampa, FL 33629-6912

Mailing address

509 Guisando de Avila
Suite 200
Tampa, FL 33613-5235
Phone (813) 442-5492

National Provider Directory

National Provider Directory
Tax ID family
Lighthouse Healthcare Group LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1394409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394409600000",
    "number": "1972929347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 GUISANDO DE AVILA",
            "address_2": "SUITE 200",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336135235",
            "telephone_number": "813-442-5492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3720 W BAY TO BAY BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336296912",
            "telephone_number": "813-442-5492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE HEALTHCARE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-10",
        "last_updated": "2014-03-10",
        "status": "A",
        "authorized_official_last_name": "SIERRA",
        "authorized_official_first_name": "STUART",
        "authorized_official_middle_name": "SEBRING",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-442-5492",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "9298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

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