LIGHTHOUSE HOME CARE PLLC (NPI# 1144674417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144674417 |
| Entity Type | Organization |
| Organization Name | LIGHTHOUSE HOME CARE PLLC |
| Practice Address |
617 W Broadway Ave Minneapolis MN 55411-2712 |
| Practice Telephone | 6125290010 |
| Practice Fax Number | 6125290010 |
| Mailing Telephone | 6125290010 |
| Mailing Fax Number | 6125290010 |
| Enumeration Date | 2016-04-22 |
| Last Update Date | 2016-04-22 |
| Authorized Official Name | MISS REGINA SHANNON (OWNER) |
| Authorized Official Telephone | 6125290010 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 376314 | MN | Agencies |
| Street Address |
617 W BROADWAY AVE |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55411-2712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477101483 | Minnesota Mental Health Solutions | Social Worker | 1007 W Broadway Ave Ste 200, Minneapolis, MN 55411 | 2019-09-03 |
| 1154980233 | Access Group Home LLC | Home Health | 1122 Upton Ave N, Minneapolis, MN 55411 | 2019-06-11 |
| 1780036202 | Marcia Karen Powless | Registered Nurse | 2339 River Pointe Lane, Minneapolis, MN 55411 | 2016-07-08 |
| 1104287663 | Abdikarim Abdille | Contractor | 521 Lyn Park Cir N, Minneapolis, MN 55411 | 2016-03-11 |
| 1962801399 | Olu's Center | Clinic/Center | 1315 12th Ave N, Minneapolis, MN 55411 | 2014-08-21 |
| 1689086639 | Claudia Alejandra Patino Gonzalez | Student in an Organized Health Care Education/Training Program | 1020 West Broadway Avenue, Minneapolis, MN 55411 | 2014-05-27 |
| 1306283445 | Advanced Home Care | Home Health | 3000 Logan Ave N, Minneapolis, MN 55411 | 2013-05-30 |
| 1154766525 | Bassim Samadani Birkland | Student in an Organized Health Care Education/Training Program | Broadway Clinic, 1020 West Broadway, Minneapolis, MN 55411 | 2013-04-30 |
| 1720354004 | New Salem Metormorphosis Youth Program | Counselor | 2509 Bryant Ave North, Minneapolis, MN 55411 | 2012-03-30 |
| 1629387469 | Apose | Home Health | 2806 Girard Ave. North, Minneapolis, MN 55411 | 2010-09-28 |
| Find all providers in zip 55411 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807672 | Twin Cities Group Homes LLC | Home Health | 711 22nd Ave Ne, Minneapolis, MN 55418-3601 | 2020-10-06 |
| 1841807450 | Shire Homecare Agency | Home Health | 618 9th Ave S Apt 307, Minneapolis, MN 55415-4608 | 2020-09-28 |
| 1508473216 | Pillar PCa LLC | Home Health | 1701 Como Ave Se, Minneapolis, MN 55414-2426 | 2020-09-26 |
| 1518575158 | Helpful Hands Home Care LLC | Home Health | 2829 Delaware St Se, Minneapolis, MN 55414-3421 | 2020-07-20 |
| 1942828249 | Bayda Group Home Inc. | Home Health | 1218 E 26th St, Minneapolis, MN 55404-4508 | 2020-07-13 |
| 1902422520 | Wicare Home Care LLC | Home Health | 2647 Bloomington Ave Ste C1, Minneapolis, MN 55407-1187 | 2020-06-19 |
| 1447875117 | Growth Support Assisted Living LLC | Home Health | 1928 Portland Ave Apt S101, Minneapolis, MN 55404-3469 | 2020-06-09 |
| 1457975195 | Wellness Home Care Inc | Home Health | 319 Garfield St Ne Apt 301, Minneapolis, MN 55413-2626 | 2020-05-28 |
| 1841813433 | Allcare LLC | Home Health | 1005 E 24th St Ste 1001, Minneapolis, MN 55404-3833 | 2020-05-18 |
| 1043832611 | Comfort Living, Inc | Home Health | 2504 16th Ave S, Minneapolis, MN 55404-3906 | 2020-05-17 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55411 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.