LIGHTHOUSE HEALTHCARE MANAGEMENT SOUTH LLC (NPI# 1619374147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619374147 |
| Entity Type | Organization |
| Organization Name | LIGHTHOUSE HEALTHCARE MANAGEMENT SOUTH LLC |
| Other Organization Name | LIGHTHOUSE INN SOUTH |
| Practice Address |
3305 Se 5th St Pompano Beach FL 33062-5509 |
| Mailing Address |
555 Madison Ave 19th Floor New York NY 10022-3301 |
| Practice Telephone | 9547857763 |
| Mailing Telephone | 2126168819 |
| Enumeration Date | 2014-11-26 |
| Last Update Date | 2014-11-26 |
| Authorized Official Name | SAMUEL TENNENBAUM (CFO) |
| Authorized Official Telephone | 2126168819 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | AL7127 | FL | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Lighthouse Inn South | Other Name - Individual/Organization |
| Street Address |
3305 SE 5TH ST |
| City | POMPANO BEACH |
| State | FL |
| Zip Code | 33062-5509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588265961 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 555 Channelside Dr, Tampa, FL 33062 | 2020-11-03 |
| 1396351821 | Brittney Eluett | Social Worker | 2637 E. Atlantic Blvd., Suite 38267, Pompano Beach, FL 33062 | 2020-09-21 |
| 1124537634 | Aaron Gabriel Grossman | General Practice | 2637 E Atlantic Blvd # 38598, Pompano Beach, FL 33062 | 2017-09-27 |
| 1790215309 | Daylis Perez-borroto Rodriguez | Dentist | 950 N Federal Hwy Suite 202, Pompano Beach, FL 33062 | 2017-06-15 |
| 1235686783 | Ican Benefit Group | Supports Brokerage | 2251 North Federal Highway, Pompano Beach, FL 33062 | 2016-09-01 |
| 1336503689 | Adriana Diaz Backer | Dentist | 2707 E. Atlantic Blvd, Pompano Beach, FL 33062 | 2016-04-12 |
| 1255723367 | Pierre G Lazore | Acupuncturist | 2637 E Atlantic Blvd # 119, Pompano Beach, FL 33062 | 2015-02-26 |
| 1467870386 | Visionworks, Inc | Eyewear Supplier (Equipment, not the service) | 2471 North Federal Highway, Pompano Beach, FL 33062 | 2014-03-29 |
| 1598192460 | Banyan Treatment and Recovery, LLC | Clinic/Center | 950 N. Federal Hwy, Suite 115, Pompano Beach, FL 33062 | 2013-10-08 |
| 1578905840 | Edwin C Delz | Dentist | 2323 Ne 26 Ave, Pompano Beach, FL 33062 | 2013-07-26 |
| Find all providers in zip 33062 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033762042 | A&d Tender Loving Care | Assisted Living Facility | 150 Ne 18th St, Pompano Beach, FL 33060-5256 | 2019-07-18 |
| 1932694593 | Angel Care Alf, Inc | Assisted Living Facility | 2821 Ne 18th St, Pompano Beach, FL 33062-3129 | 2018-06-26 |
| 1083011506 | Lighthouse Healthcare Management North LLC | Assisted Living Facility | 3208 Ne 11th St, Pompano Beach, FL 33062-3910 | 2014-11-26 |
| 1760816730 | Grand Court Alf LLC | Assisted Living Facility | 295 Sw 4th Ave, Pompano Beach, FL 33060-6933 | 2013-08-27 |
| 1235563586 | Verona Gardens LLC | Assisted Living Facility | 239 Ne 23rd Ave, Pompano Beach, FL 33062-4821 | 2013-08-22 |
| 1285066134 | Leisure Land Alf Inc | Assisted Living Facility | 2301 Ne 12th Ter, Pompano Beach, FL 33064-5518 | 2013-08-02 |
| 1194167668 | Vizcaya By The Sea | Assisted Living Facility | 1621 N Ocean Blvd, Pompano Beach, FL 33062-3428 | 2013-07-24 |
| 1609198118 | Community Living, Inc. | Assisted Living Facility | 4200 Ne 19th Ave, Pompano Beach, FL 33064 | 2010-02-24 |
| 1346494416 | Mm Assisted Living Facility Inc. | Assisted Living Facility | 113 Ne 7th St, Pompano Beach, FL 33060-6133 | 2008-11-15 |
| 1740454180 | S & Ttce Corporation, Inc. | Assisted Living Facility | 3300 Se 7th St, Pompano Beach, FL 33062-6208 | 2008-04-16 |
| Find all providers in POMPANO BEACH | ||||
| City | POMPANO BEACH |
| Zip Code | 33062 |
Please comment or provide details below to improve the information on LIGHTHOUSE HEALTHCARE MANAGEMENT SOUTH LLC.
| 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.