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LIGHTHOUSE MEDICAL SUPPLY, LLC
NPI 1679650907
Durable Medical Equipment & Medical Supplies - Parenteral & Enteral Nutrition in Middletown, CT

Active since November 01, 2006
245 LONG HILL RD, MIDDLETOWN, CT 06457(866) 633-0005(860) 343-8111 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lighthouse Medical Supply, Llc NPPES

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

LIGHTHOUSE MEDICAL SUPPLY, LLC (NPI 1679650907) is a healthcare organization registered as a parenteral & enteral nutrition in Middletown, Connecticut and active in the NPI registry since November 2006. The organization lists Barry E O'dougherty, Authorized Official - President, as its authorized official.

NPPES Registry Identity

NPI1679650907
Entity TypeOrganization
Primary Taxonomy332BP3500X
Legal Business NameLIGHTHOUSE MEDICAL SUPPLY, LLC
Location Address245 LONG HILL RDMiddletown, CT 06457-4063
Mailing Address245 Long Hill RdMiddletown, CT 06457-4063 · (866) 633-0005 · Fax (860) 343-8111
Phone(866) 633-0005
Fax(860) 343-8111
Organization SubpartNo
Authorized OfficialBarry E O'doughertyAuthorized Official - President · (203) 575-1401
Enumeration DateNovember 1, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1679650907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical Supplies · Parenteral & Enteral NutritionSuppliers
Taxonomy Code332BP3500X
245 LONG HILL RD, Middletown, CT 06457
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Other Providers at the Same Location NPPES 6

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

CLAIRE DALTON RPT
Physical Therapist
245 LONG HILL RD
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (866) 552-9292
MS. CAROL ANN PETERS
Physical Therapist (Geriatrics)
245 LONG HILL RD
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 704-8400
RACHEL B POULIN OTR-L
Occupational Therapist
245 LONG HILL RD
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 704-8400
MS. CAROL LEE LAFAUCI COTA
Skilled Nursing Facility
245 LONG HILL RD
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (866) 552-9292
BYRON ROY EASTERLY
Skilled Nursing Facility
245 LONG HILL RD
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 227-6630
PROF. DARLEEN SANTORE BUSH OTRL
Occupational Therapist
245 LONG HILL RD
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 343-8778

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 Medical Supply, LLC's NPI number?

The NPI number for Lighthouse Medical Supply, LLC is 1679650907. It was assigned to this organization in the NPPES registry on November 1, 2006.

Where is Lighthouse Medical Supply, LLC located?

Lighthouse Medical Supply, LLC is located at 245 Long Hill Rd, Middletown, CT 06457. The listed phone number is (866) 633-0005.

What is Lighthouse Medical Supply, LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies, specializing in Parenteral & Enteral Nutrition, with taxonomy code 332BP3500X.

When was this NPI record last updated?

The NPPES record for Lighthouse Medical Supply, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.