LIGHTHOUSE HOSPICE LLC (NPI# 1477096220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477096220 |
| Entity Type | Organization |
| Organization Name | LIGHTHOUSE HOSPICE LLC |
| Practice Address |
3061 S Meridian Rd Suite 150 Meridian ID 83642-7962 |
| Practice Telephone | 2085460023 |
| Practice Fax Number | 2089473465 |
| Mailing Telephone | 2085460023 |
| Mailing Fax Number | 2089473465 |
| Enumeration Date | 2016-11-28 |
| Last Update Date | 2016-11-28 |
| Authorized Official Name | MR. GARY W WALKER (MEMBER) |
| Authorized Official Telephone | 2085460023 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093865586 | Lighthouse Hospice LLC | Hospice Care, Community Based | 6794 S 1300 E, Salt Lake City, UT 84121-2719 | 2007-01-10 |
| Street Address |
3061 S MERIDIAN RD SUITE 150 |
| City | MERIDIAN |
| State | ID |
| Zip Code | 83642-7962 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053348441 | Clay Herold Ward | Clinical Neuropsychologist | 3061 S Meridian Rd, Suite 150, Meridian, ID 83642-7962 | 2006-06-28 |
| 1114321163 | Meridian Neuropsychology Pllc | Psychologist | 3061 S Meridian Rd, Ste 100, Meridian, ID 83642-7962 | 2014-10-20 |
| 1538412382 | Jason Southwick | Clinical Neuropsychologist | 3061 S Meridian Rd, Ste 100, Meridian, ID 83642-7962 | 2012-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174145684 | Ikdo South Meridian LLC | Dentist | 3839 E Amity Rd, Meridian, ID 83642 | 2020-05-07 |
| 1073133328 | Prescription Pad LLC | Pharmacy | 885 S Vanguard Way, Meridian, ID 83642 | 2020-04-16 |
| 1609412683 | Meridian Advanced Psychiatry, LLC | Psychiatry & Neurology | 1672 S Woodsage Ave., Meridan, ID 83642 | 2019-11-25 |
| 1194378927 | Sergey Tsema | Occupational Therapist | 1259 E Pisa St, Meridian, ID 83642 | 2019-07-21 |
| 1003478629 | Chris R Jackson | Dentist | Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 | 2019-07-03 |
| 1285293118 | Morgan Family Medicine | Nurse Practitioner | 1660 S Woodsage Avenue, Meridian, ID 83642 | 2019-06-13 |
| 1033772793 | Nugen Healthcare, Pllc | Registered Nurse | 2177 S Spoonbill Ave, Meridian, ID 83642 | 2019-04-18 |
| 1811471790 | Courtney Crossland | Physician Assistant | 4949 S Hillsdale Ave., Meridian, ID 83642 | 2018-09-18 |
| 1841771938 | Katelyn Perry | Counselor | 2068 S. Eagle Rd., Meridian, ID 83642 | 2018-08-27 |
| 1114406204 | Gem Prep: Meridian LLC | Case Management | 2750 E.gala Ct., Meridian, ID 83642 | 2018-08-09 |
| Find all providers in zip 83642 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871946483 | Doctor's Hospice of Idaho LLC | Hospice Care, Community Based | 1552 N Crestmont Dr Ste B, Meridian, ID 83642-2193 | 2016-07-19 |
| 1013317064 | Complete Hospice Care of Boise LLC | Hospice Care, Community Based | 1940 S Bonito Way Ste 140, Meridian, ID 83642-2625 | 2014-08-27 |
| 1144599671 | St. Anthony's Hospice, LLC | Hospice Care, Community Based | 2127 West 24th Avenue, Meridian, MS 39301-3916 | 2011-12-29 |
| 1902192768 | Hospice Advantage, LLC. | Hospice Care, Community Based | 1300 14th St, Suite D, Meridian, MS 39301-4317 | 2011-06-21 |
| 1689996357 | Teton Healthcare, Inc. | Hospice Care, Community Based | 63 W Willowbrook Dr, Meridian, ID 83646-1656 | 2010-02-23 |
| 1700112885 | Peoplefirst Homecare & Hospice of Utah, LLC | Hospice Care, Community Based | 3090 E Gentry Way Ste 150, Meridian, ID 83642-3597 | 2009-10-26 |
| 1174859227 | Align Hospice LLC | Hospice Care, Community Based | 2512 N Stokesberry Pl Ste 101, Meridian, ID 83646-1144 | 2009-10-25 |
| 1770658676 | Western Healthcare Services of Idaho, Inc. | Hospice Care, Community Based | 2950 E Magic View Dr., Suite 192, Meridian, ID 83642 | 2006-11-24 |
| 1942395645 | Harper's Hospice Care, Inc. | Hospice Care, Community Based | 1703 24th Ave, Meridian, MS 39301-3114 | 2006-10-04 |
| 1629177118 | Community Outreach Counseling | Hospice Care, Community Based | 1406 N Main St, Ste 103, Meridian, ID 83642-1795 | 2006-09-21 |
| Find all providers in MERIDIAN | ||||
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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.