LIGHTHOUSE COMPLEX CARE OF DELAWARE INC
NPI 1720797251
Clinic/Center - Multi-Specialty in Wilmington, DE

Q: What is Lighthouse Complex Care Of Delaware Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Active since November 23, 2022CLIA 08D2285740 · Waiver

2500 GRUBB RD STE 123, WILMINGTON, DE 19810(302) 304-3417(302) 467-2474 Get Directions Write a Review

NPPES record last updated: April 2, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 2, 2024, Jul 28, 2023, Mar 3, 2023 and 1 more (4 updates tracked since 2022).

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About Lighthouse Complex Care Of Delaware Inc NPPES

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

LIGHTHOUSE COMPLEX CARE OF DELAWARE INC (NPI 1720797251) is a healthcare organization registered as a multi-specialty in Wilmington, Delaware and active in the NPI registry since November 2022. The organization holds a CLIA Waiver certificate valid through July 17, 2027 and lists Meera Manickam, Owner, as its authorized official.

NPPES Registry Identity

NPI1720797251

Entity TypeOrganization

Primary Taxonomy261QM1300X

Legal Business NameLIGHTHOUSE COMPLEX CARE OF DELAWARE INC

Location Address2500 GRUBB RD STE 123Wilmington, DE 19810-4711

Mailing Address2500 Grubb Rd Ste 123Wilmington, DE 19810-4711 · (302) 304-3417 · Fax (302) 467-2474

Phone(302) 304-3417

Fax(302) 467-2474

Organization SubpartNo

Authorized OfficialMeera ManickamOwner · (302) 740-1347

Enumeration DateNovember 23, 2022

Last NPPES UpdateApril 2, 20244 updates tracked since enumeration

NPPES CertifiedApril 2, 2024

✔ NPI 1720797251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM1300X

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedPediatricsTaxonomy 208000000X

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X

2500 GRUBB RD STE 123, Wilmington, DE 19810

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Highmark Blue Cross Blue Shield Delaware.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 08D2285740

Lighthouse Complex Care Of Delaware, Inc · Wilmington, DE

Active · expires Jul 17, 2027

CLIA Number08D2285740

Laboratory TypePhysician Office

Certificate Effective DateJuly 18, 2025

Certificate Expiration DateJuly 17, 2027

Laboratory DirectorDane Fliedner

Laboratory Phone(302) 304-3417

Laboratory LocationLighthouse Complex Care Of Delaware, Inc2500 Grubb Rd Ste 123, Wilmington, DE 19810

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Complex Care Of Delaware Inc's NPI number?

The NPI number for Lighthouse Complex Care Of Delaware Inc is 1720797251. It was assigned to this organization in the NPPES registry on November 23, 2022.

Where is Lighthouse Complex Care Of Delaware Inc located?

Lighthouse Complex Care Of Delaware Inc is located at 2500 Grubb Rd Ste 123, Wilmington, DE 19810. The listed phone number is (302) 304-3417.

What is Lighthouse Complex Care Of Delaware Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Lighthouse Complex Care Of Delaware Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 08D2285740) is associated with this NPI, valid through July 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Lighthouse Complex Care Of Delaware Inc accept?

Health plans from AmeriHealth Caritas Next and Highmark Blue Cross Blue Shield Delaware list Lighthouse Complex Care Of Delaware Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lighthouse Complex Care Of Delaware Inc was last updated on April 2, 2024. 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.