LIGHTHOUSE PREMIUM HOME CARE LLC NPI 1548085079

NPI Information

  • NPI: 1548085079
  • Provider Name: LIGHTHOUSE PREMIUM HOME CARE LLC
  • Classification: Nursing Care - 251J00000X
  • Entity Type: Organization
  • Address: 3300 COUNTY ROAD 10
    STE 200D
    BROOKLYN CENTER, MN
    ZIP 55429
  • Phone: (612) 886-4585

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NPI Details

LIGHTHOUSE PREMIUM HOME CARE LLC is a nursing care in Brooklyn Center, MN. The provider is a Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. LIGHTHOUSE PREMIUM HOME CARE LLC NPI is 1548085079. The provider is registered as an organization entity type.

The provider's business location address is:

3300 COUNTY ROAD 10
STE 200D
BROOKLYN CENTER, MN
ZIP 55429
Phone: (612) 886-4585

The provider's authorized official is Oswald Dema .
The authorized official title is Owner and has the following contact phone number (612) 886-4585.

The enumeration date for this NPI number is 11/19/2024 and was last updated on 11/19/2024.

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
1251E00000XHome HealthNo
2251J00000XNursing CareYes

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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