LIGHTHOUSE PRIMARY HOME CARE LLC (NPI# 1851666200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851666200 |
| Entity Type | Organization |
| Organization Name | LIGHTHOUSE PRIMARY HOME CARE LLC |
| Other Organization Name | LIGHTHOUSE PRIMARY HOME CARE |
| Practice Address |
1716 S San Marcos Suite 27 San Antonio TX 78207-7094 |
| Practice Telephone | 2104441825 |
| Practice Fax Number | 2102239128 |
| Mailing Telephone | 2104441825 |
| Mailing Fax Number | 2102239128 |
| Enumeration Date | 2012-03-19 |
| Last Update Date | 2012-03-20 |
| Authorized Official Name | MR. ARMANDO NATIVIDAD (CEO/OWNER) |
| Authorized Official Telephone | 2104441825 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 253Z00000X | In Home Supportive Care | Agencies | ||
| Y | 251E00000X | Home Health | Agencies |
| Other Name | Type Code |
|---|---|
| Lighthouse Primary Home Care | Doing Business As Name - Organization |
| Street Address |
1716 S SAN MARCOS SUITE 27 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78207-7094 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992840151 | Home Diabetic Supplies LLC | Durable Medical Equipment & Medical Supplies | 1716 S San Marcos, Suite 25, San Antonio, TX 78207-7094 | 2007-02-21 |
| 1043484785 | Douglas W Lewis | Counselor | 1716 S San Marcos, Room 203, San Antonio, TX 78207-7094 | 2008-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457999849 | Eri Industries, LLC, Dba Eri Group Homes | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2300 W. Commerce#216, San Antonio, TX 78207 | 2019-12-16 |
| 1164087854 | Jesse G Trevino | Student in an Organized Health Care Education/Training Program | 700 S Zarzamora Ste 209, San Antonio, TX 78207 | 2019-05-08 |
| 1669036869 | Anjali Patel | Student in an Organized Health Care Education/Training Program | 903 W. Martin Street, San Antonio, TX 78207 | 2019-04-24 |
| 1811488257 | Thomas Ellis Tippit Sr. | Dentist | 711 North Frio St, San Antonio, TX 78207 | 2018-05-22 |
| 1619426053 | Erica Annotti | Nurse Practitioner | 903 W Martin St Fl 6, San Antonio, TX 78207 | 2016-09-27 |
| 1801255435 | Mona Anwar El-kady | Audiologist | 411 S.w. 24th St, Jersig Building J119, San Antonio, TX 78207 | 2016-02-10 |
| 1053785683 | Lisa Marie Ramos | Speech-Language Pathologist | 230 Rounds, San Antonio, TX 78207 | 2015-11-19 |
| 1568840221 | Gabriel Tamayo | Physical Therapist | 701 S Zarzarmora, San Antonio, TX 78207 | 2015-05-14 |
| 1588042717 | Priya Amin | Podiatrist | 701 S Zarzamora St Ste 2120, San Antonio, TX 78207 | 2015-05-07 |
| 1437545837 | Jesse Banales | Student in an Organized Health Care Education/Training Program | 333 North Santa Road, Ccf-f3725, San Antonio, TX 78207 | 2015-04-13 |
| Find all providers in zip 78207 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316544109 | Michael Zendejas | Home Health | 19210 Huebner Rd Ste 101, San Antonio, TX 78258-3103 | 2020-10-05 |
| 1508475377 | Tots In Tow, LLC | Home Health | 16607 Blanco Rd Ste 12202, San Antonio, TX 78232-1963 | 2020-07-28 |
| 1205454600 | Laith Abu Baker | Home Health | 1242 Bobcat Pass, San Antonio, TX 78251-4002 | 2020-07-12 |
| 1689290835 | Ardent Nursing and Homecare of Texas Pllc | Home Health | 4040 Broadway St Ste 240, San Antonio, TX 78209-6300 | 2020-06-24 |
| 1467072603 | Rene & Marie Landero Enterprises LLC | Home Health | 734 Mccauley Blvd, San Antonio, TX 78221-1333 | 2020-04-17 |
| 1881222933 | Hilltop Residential Care Homes LLC | Home Health | 4045 Comanche Sunrise, San Antonio, TX 78244-1221 | 2020-04-01 |
| 1194362350 | Mission Hhh LLC | Home Health | 1003 Beckett Ste 203, San Antonio, TX 78213-1372 | 2019-12-06 |
| 1649813874 | Prime Home Health, LLC | Home Health | 506 E Ramsey Rd Ste 1, Unit 2, San Antonio, TX 78216-4657 | 2019-10-21 |
| 1841840154 | Patriot Healthcare Services LLC | Home Health | 7330 Lyia Br, San Antonio, TX 78252-2749 | 2019-09-18 |
| 1740839190 | Jacqueline Ann Howard | Home Health | 4726 Crystal Farm, San Antonio, TX 78244-1323 | 2019-09-09 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78207 |
Please comment or provide details below to improve the information on LIGHTHOUSE PRIMARY HOME CARE LLC.
| 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.