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LIGHTHOUSE HOME CARE PLLC
NPI 1144674417
Home Health in Minneapolis, MN

Active since April 22, 2016
617 W BROADWAY AVE, MINNEAPOLIS, MN 55411(612) 529-0010(612) 529-0010 Get Directions Write a Review

NPPES record last updated: April 22, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lighthouse Home Care Pllc NPPES

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

LIGHTHOUSE HOME CARE PLLC (NPI 1144674417) is a healthcare organization registered as a home health in Minneapolis, Minnesota and active in the NPI registry since April 2016. The organization lists Regina Shannon, Owner, as its authorized official.

NPPES Registry Identity

NPI1144674417
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameLIGHTHOUSE HOME CARE PLLC
Location Address617 W BROADWAY AVEMinneapolis, MN 55411-2712
Mailing Address617 W Broadway AveMinneapolis, MN 55411-2712 · (612) 529-0010 · Fax (612) 529-0010
Phone(612) 529-0010
Fax(612) 529-0010
Organization SubpartNo
Authorized OfficialRegina ShannonOwner · (612) 529-0010
Enumeration DateApril 22, 2016
✔ NPI 1144674417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
License✔ Licensed in MN · 376314
Definition
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.
617 W BROADWAY AVE, Minneapolis, MN 55411
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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 Lighthouse Home Care PLLC's NPI number?

The NPI number for Lighthouse Home Care PLLC is 1144674417. It was assigned to this organization in the NPPES registry on April 22, 2016.

Where is Lighthouse Home Care PLLC located?

Lighthouse Home Care PLLC is located at 617 W Broadway Ave, Minneapolis, MN 55411. The listed phone number is (612) 529-0010.

What is Lighthouse Home Care PLLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Lighthouse Home Care PLLC was last updated on April 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.