LIGHTHOUSE MEDICAL SUPPLY LLC NPI 1679650907

NPI Information

  • NPI: 1679650907
  • Provider Name: LIGHTHOUSE MEDICAL SUPPLY, LLC
  • Classification: Durable Medical Equipment & Medical Supplies - 332BP3500X
  • Specialization: Parenteral & Enteral Nutrition
  • Entity Type: Organization
  • Address: 245 LONG HILL RD
    MIDDLETOWN, CT
    ZIP 06457
  • Phone: (866) 633-0005

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NPI Details

LIGHTHOUSE MEDICAL SUPPLY, LLC is a parenteral and enteral nutrition durable medical equipment medical supplies in Middletown, CT. LIGHTHOUSE MEDICAL SUPPLY, LLC NPI is 1679650907. The provider is registered as an organization entity type.

The provider's business location address is:

245 LONG HILL RD
MIDDLETOWN, CT
ZIP 06457-063
Phone: (866) 633-0005
Fax: (860) 343-8111

The provider's authorized official is Barry E O'dougherty .
The authorized official title is Authorized Official - President and has the following contact phone number (203) 575-1401.

The enumeration date for this NPI number is 11/1/2006 and was last updated on 8/22/2020.

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
1332BP3500XDurable Medical Equipment & Medical SuppliesParenteral & Enteral NutritionYes

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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