LIGHTHOUSE INN SOUTH
NPI 1619374147
Assisted Living Facility in Pompano Beach, FL
- Organization
- Assisted Living Facility
About LIGHTHOUSE INN SOUTH
This page provides the complete NPI Profile along with additional information for Lighthouse Inn South, a provider established in Pompano Beach, Florida operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1619374147 assigned on November 2014. The practitioner's primary taxonomy code is 310400000X with license number AL7127 (FL). The provider is registered as an organization and their NPI record was last updated 12 years ago. The provider's other name is Lighthouse Inn South. The authorized official of this NPI record is Samuel Tennenbaum (Cfo)
- NPI
- 1619374147 Verify this NPI
- Provider Legal Name
- LIGHTHOUSE HEALTHCARE MANAGEMENT SOUTH LLC
- Other Organization Name
- LIGHTHOUSE INN SOUTH
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 3305 SE 5TH ST POMPANO BEACH, FL 33062
- Location Phone
- (954) 785-7763
- Mailing Address
- 555 MADISON AVE 19TH FLOOR NEW YORK, NY 10022
- Mailing Phone
- (212) 616-8819
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-26-2014
- Last Update Date
- 11-26-2014
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Assisted Living Facility
- Taxonomy Code
- 310400000X
- Type
- Nursing & Custodial Care Facilities
- License No.
- AL7127
- License State
- FL
- Taxonomy Description
- A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1619374147, enumerated as an "organization" on November 26, 2014.
The provider is located at 3305 SE 5TH ST POMPANO BEACH, FL 33062 and the phone number is (954) 785-7763.
Assisted Living Facility with taxonomy code 310400000X.
