LIGHTHOUSE SUPPORT SERVICES INC. NPI 1437127487

NPI Information

  • NPI: 1437127487
  • Provider Name: LIGHTHOUSE SUPPORT SERVICES, INC.
  • Classification: Assisted Living Facility - 3104A0630X
  • Specialization: Assisted Living, Behavioral Disturbances
  • Entity Type: Organization
  • Doing Business As: LIGHTHOUSE GROUP HOME
  • Address: 826 SE SWEETBAY AVE
    PORT ST LUCIE, FL
    ZIP 34983
  • Phone: (772) 344-4954

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NPI Details

LIGHTHOUSE SUPPORT SERVICES, INC. is an assisted living and behavioral disturbances assisted living facility in Port St Lucie, FL. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors. LIGHTHOUSE SUPPORT SERVICES, INC. NPI is 1437127487. The provider is registered as an organization entity type.
The provider Is Doing Business As Lighthouse Group Home.

The provider's business location address is:

826 SE SWEETBAY AVE
PORT ST LUCIE, FL
ZIP 34983-647
Phone: (772) 344-4954
Fax: (772) 344-5875

The provider's authorized official is Ruben Cancel .
The authorized official title is Ceo and has the following contact phone number (772) 344-4954.

The enumeration date for this NPI number is 3/8/2006 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13104A0630XAssisted Living FacilityAssisted Living, Behavioral DisturbancesF001FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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