LIGHTHOUSE MEDICAL SUPPLIES LLC (NPI# 1114572955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114572955 |
| Entity Type | Organization |
| Organization Name | LIGHTHOUSE MEDICAL SUPPLIES LLC |
| Practice Address |
9184 Wild Horse Ave Hesperia CA 92344-0047 |
| Practice Telephone | 7708911530 |
| Mailing Telephone | 7708911530 |
| Enumeration Date | 2019-08-08 |
| Last Update Date | 2019-08-08 |
| Authorized Official Name | KRISTOPHER S YOUNG (CEO) |
| Authorized Official Telephone | 7708911530 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
9184 WILD HORSE AVE |
| City | HESPERIA |
| State | CA |
| Zip Code | 92344-0047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821639246 | Carolyn Susan Shaw | Technician | 13312 Ranchero Rd #533, Oak Hills, CA 92344 | 2019-10-07 |
| 1821587684 | Joseph Mica Benavides | Licensed Practical Nurse | 6425 Columbine Rd., Oak Hills, CA 92344 | 2018-05-08 |
| 1841725280 | Ruben Sergio Padilla | Behavioral Analyst | 8794 Tustin Ave, Hesperia, CA 92344 | 2017-04-24 |
| 1184755233 | Virginia L Schwab | Counselor | 7657 Coleridge Road, Oak Hills, CA 92344 | 2007-03-08 |
| 1407347305 | Noel Norman Flowers Sr. | Driver | 13850 Rosemary St, Hesperia, CA 92344-0001 | 2018-05-25 |
| 1386015840 | Darin Saunders | Registered Nurse | 13842 Lemongrass Way, Hesperia, CA 92344-0042 | 2015-10-09 |
| 1629585856 | Amazing Grace Oasis | Intermediate Care Facility, Mentally Retarded | 13842 Lemongrass Way, Hesperia, CA 92344-0042 | 2018-01-09 |
| 1891212353 | Melissa Ann De Silva | Behavioral Analyst | 8546 Wagon Wheel Ct, Hesperia, CA 92344-0192 | 2017-08-25 |
| 1326695032 | Brooke A Palmer | Behavior Technician | 10720 Cedar St, Oak Hills, CA 92344-0660 | 2019-08-19 |
| 1437554714 | The Gaqthering Place Lionheart Ministries Inc | Counselor | 9345 Dragon Tree Dr, Hesperia, CA 92344-4680 | 2014-10-28 |
| Find all providers in zip 92344 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578818209 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 13401 Main St, Hesperia, CA 92345-9123 | 2012-07-18 |
| 1144407065 | Health America Medical Equipments & Supply Inc. | Durable Medical Equipment & Medical Supplies | 16039 Walnut St, Suite A, Hesperia, CA 92345-3478 | 2008-01-22 |
| 1386864890 | Helen Obileye | Durable Medical Equipment & Medical Supplies | 15800 Main St, Suite 270, Hesperia, CA 92345-3453 | 2007-04-26 |
| 1417066838 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 15510 Main Street, Hesperia, CA 92345-3427 | 2006-08-30 |
| 1841300621 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 17441 Main Street, Hesperia, CA 92345-6268 | 2006-08-30 |
| 1518974575 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 17383 Main St, Hesperia, CA 92345-6111 | 2006-08-02 |
| 1104832807 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 17051 Bear Valley Rd, Hesperia, CA 92345-1845 | 2006-08-01 |
| 1407891351 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 15480 Main St, Hesperia, CA 92345-3318 | 2006-06-17 |
| 1194956821 | Tesla Supply Company | Durable Medical Equipment & Medical Supplies | 15923 Bear Valley Rd, D 270, Hesperia, CA 92345 | 2009-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093316192 | Ramon D Riego Jr. | Durable Medical Equipment & Medical Supplies | 12371 Lewis St Ste 202, Garden Grove, CA 92840-4688 | 2020-11-04 |
| 1447851001 | Christy Ann Packard | Durable Medical Equipment & Medical Supplies | 11130 Linda Dr, Auburn, CA 95602-9232 | 2020-11-02 |
| 1255932786 | Kabafusion, LLC | Durable Medical Equipment & Medical Supplies | 5860 W. Las Positas Blvd, Suite 19, Pleasanton, CA 94588 | 2020-11-02 |
| 1023618709 | S & K Dme LLC | Durable Medical Equipment & Medical Supplies | 9910 Irvine Center Dr Bldg 7, Irvine, CA 92618-4357 | 2020-10-30 |
| 1942800800 | Ade Medical and Equipments Suppliers, LLC | Durable Medical Equipment & Medical Supplies | 14205 Inglewood Ave, Hawthorne, CA 90250-6729 | 2020-10-29 |
| 1689274755 | Genesis Hcp of Orange County | Durable Medical Equipment & Medical Supplies | 11552 Knott St # C11, Garden Grove, CA 92841-1824 | 2020-10-28 |
| 1376143479 | Impakt Medical, LLC | Durable Medical Equipment & Medical Supplies | 14125 Capri Dr Ste 8, Los Gatos, CA 95032-1516 | 2020-10-28 |
| 1811596901 | Kd Medical Inc | Durable Medical Equipment & Medical Supplies | 4565 Monaco Ct, Orcutt, CA 93455-4073 | 2020-10-20 |
| 1710585161 | Interlang LLC Dba Montgomery Dme | Durable Medical Equipment & Medical Supplies | 14109 Pontlavoy Ave, Santa Fe Spgs, CA 90670-4934 | 2020-10-16 |
| 1700484219 | Oa Medicals LLC | Durable Medical Equipment & Medical Supplies | 1704 W Manchester Ave Ste 203, Los Angeles, CA 90047-3057 | 2020-10-16 |
| Find all providers with the same taxonomy | ||||
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| 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.