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LIGHTHOUSE HOSPICE LLC NPI 1477096220


NPI Information

NPI: 1477096220
Provider Name: LIGHTHOUSE HOSPICE LLC
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 13D2131361

Address:
3061 S MERIDIAN RD
SUITE 150
MERIDIAN, ID
ZIP 83642
Phone: (208) 546-0023
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LIGHTHOUSE HOSPICE LLC is a hospice care community based in Meridian, ID. LIGHTHOUSE HOSPICE LLC NPI is 1477096220. The provider is registered as an organization entity type.

The provider's business location address is:

3061 S MERIDIAN RD
SUITE 150
MERIDIAN, ID
ZIP 83642-962
Phone: (208) 546-0023
Fax: (208) 947-3465

The provider's authorized official is Gary W Walker .
The authorized official title is Member and has the following contact phone number (208) 546-0023.

The CLIA number assigned to this NPI record is 13D2131361 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/28/2016 and was last updated on 11/28/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251G00000XHospice Care, Community BasedYes

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: 11/14/2023

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