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LIGHT HOUSE GROUP HOME
NPI 1013392679
In Home Supportive Care in Tryon, NC

Active since July 24, 2015
85 MIMOSA INN LN, TRYON, NC 28782(828) 859-0259 Get Directions Write a Review

NPPES record last updated: May 5, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 5, 2022, Nov 23, 2020, Jun 12, 2019 (3 updates tracked since 2019).

About Light House Group Home NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIGHT HOUSE GROUP HOME (NPI 1013392679) is a healthcare organization registered as an in home supportive care in Tryon, North Carolina and active in the NPI registry since July 2015. The organization lists Julie Grigg, Executive Administrator, as its authorized official.

NPPES Registry Identity

NPI1013392679
Entity TypeOrganization
Primary Taxonomy253Z00000X
Legal Business NameLIGHT HOUSE GROUP HOME
Location Address85 MIMOSA INN LNTryon, NC 28782-8685
Mailing Address20 Jervey Rd, Suite 102Tryon, NC 28782-0017 · (828) 859-0259
Phone(828) 859-0259
Organization SubpartYesParent: Synergy In Action
Authorized OfficialJulie GriggExecutive Administrator · (828) 859-0259
Enumeration DateJuly 24, 2015
Last NPPES UpdateMay 5, 20223 updates tracked since enumeration
NPPES CertifiedMay 5, 2022
✔ NPI 1013392679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyIn Home Supportive CareAgencies
Taxonomy Code253Z00000X
Definition
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
Also ListedResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesTaxonomy 320600000X · License MHL075025 (NC)
85 MIMOSA INN LN, Tryon, NC 28782
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MONARCH
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
85 MIMOSA INN LN
TRYON, NC 28782
Polk County (828) 859-9770

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Light House Group Home's NPI number?

The NPI number for Light House Group Home is 1013392679. It was assigned to this organization in the NPPES registry on July 24, 2015.

Where is Light House Group Home located?

Light House Group Home is located at 85 Mimosa Inn Ln, Tryon, NC 28782. The listed phone number is (828) 859-0259.

What is Light House Group Home's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

When was this NPI record last updated?

The NPPES record for Light House Group Home was last updated on May 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.