THE LIGHTHOUSE COMMUNITY CARE


Address: 120 Rusty Lane, Houma, LA 70360-0120
Phone: 9858704599

THE LIGHTHOUSE COMMUNITY CARE (NPI# 1902263643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1902263643
Entity Type Organization
Organization Name THE LIGHTHOUSE COMMUNITY CARE
Practice Address 120 Rusty Lane
Houma
LA 70360-0120
Practice Telephone 9858704599
Mailing Telephone 9858704599
Enumeration Date 2016-01-26
Last Update Date 2016-01-26
Authorized Official Name MS. BELINDA BERGERON (COUNSELOR)
Authorized Official Telephone 9858704599
Authorized Official Credential BACHLORS DEGREE
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 302F00000X Exclusive Provider Organization OC24442 LA Managed Care Organizations

Office Location

Street Address 120 RUSTY LANE
City HOUMA
State LA
Zip Code 70360-0120

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Taxonomy Information

Taxonomy Code 302F00000X
Grouping Managed Care Organizations
Classification Exclusive Provider Organization

Taxonomy Definition

(1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations.
Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 15; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58; (3) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

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1932520442 Eye of The Storm Ministries Incorporated Exclusive Provider Organization 29 Highway 454, Pineville, LA 71360 2013-12-31
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Competitor

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City HOUMA
Zip Code 70360

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Dataset Information

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.

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