LIGHT HOUSE VILLAGE
NPI 1023148434
Custodial Care Facility in Jacksonville, NC

Q: What is Jacksonville Care LLC's NPI number?

The NPI number for Jacksonville Care LLC is 1023148434. It was assigned to this organization in the NPPES registry on March 6, 2007. The provider is also known as Light House Village.

Q: What is Jacksonville Care LLC's specialty?

The primary specialty registered for this NPI is Custodial Care Facility with taxonomy code 311Z00000X.

Active since March 06, 2007

182 VILLAGE DR, JACKSONVILLE, NC 28546(910) 353-7111(910) 353-2799 Get Directions Write a Review

NPPES record last updated: November 13, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Light House Village NPPES

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

LIGHT HOUSE VILLAGE (NPI 1023148434) is a healthcare organization registered as a custodial care facility in Jacksonville, North Carolina and active in the NPI registry since March 2007. The organization lists Jacqueline W Pierce, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1023148434

Entity TypeOrganization

Primary Taxonomy311Z00000X

Legal Business NameJACKSONVILLE CARE LLC

Location Address182 VILLAGE DRJacksonville, NC 28546-7238

Mailing AddressPo Box 878Oak Ridge, NC 27310-0878 · (336) 643-0555 · Fax (336) 643-0553

Phone(910) 353-7111

Fax(910) 353-2799

Organization SubpartNo

Authorized OfficialJacqueline W PierceManaging Member · (336) 643-0555

Enumeration DateMarch 6, 2007

Last NPPES UpdateNovember 13, 2023

✔ NPI 1023148434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCustodial Care FacilityNursing & Custodial Care Facilities

Taxonomy Code311Z00000X

License✔ Licensed in NC · HAL-067-013

Definition

A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel.

Also ListedAssisted Living FacilityTaxonomy 310400000X · License HAL-067-013 (NC)

182 VILLAGE DR, Jacksonville, NC 28546

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Other Names 1

Other NameLight House Village

Other Identifiers 1

Medicaid7804343NC

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 Jacksonville Care LLC's NPI number?

The NPI number for Jacksonville Care LLC is 1023148434. It was assigned to this organization in the NPPES registry on March 6, 2007. The provider is also known as Light House Village.

Where is Jacksonville Care LLC located?

Jacksonville Care LLC is located at 182 Village Dr, Jacksonville, NC 28546. The listed phone number is (910) 353-7111.

What is Jacksonville Care LLC's specialty?

The primary specialty registered for this NPI is Custodial Care Facility with taxonomy code 311Z00000X.

When was this NPI record last updated?

The NPPES record for Jacksonville Care LLC was last updated on November 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.