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HOUSE OF LIGHT SENIOR LIVING, LLC
NPI 1831448174
Assisted Living Facility in Palm Bay, FL

Active since August 31, 2012
2638 JUPITER BLVD SW, PALM BAY, FL 32908(321) 368-5611(321) 345-5925 Get Directions Write a Review

NPPES record last updated: February 3, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About House Of Light Senior Living, Llc NPPES

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

HOUSE OF LIGHT SENIOR LIVING, LLC (NPI 1831448174) is a healthcare organization registered as an assisted living facility in Palm Bay, Florida and active in the NPI registry since August 2012. The organization lists Viviene Cornetta Moore, Administrator, as its authorized official.

NPPES Registry Identity

NPI1831448174
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameHOUSE OF LIGHT SENIOR LIVING, LLC
Location Address2638 JUPITER BLVD SWPalm Bay, FL 32908-3565
Mailing Address2638 Jupiter Blvd SwPalm Bay, FL 32908-3565 · (321) 368-5611 · Fax (321) 345-5925
Phone(321) 368-5611
Fax(321) 345-5925
Organization SubpartNo
Authorized OfficialViviene Cornetta MooreAdministrator · (321) 368-5611
Enumeration DateAugust 31, 2012
Last NPPES UpdateFebruary 3, 2013
✔ NPI 1831448174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in FL · AL12240
Definition
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.
2638 JUPITER BLVD SW, Palm Bay, FL 32908
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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 House Of Light Senior Living, LLC's NPI number?

The NPI number for House Of Light Senior Living, LLC is 1831448174. It was assigned to this organization in the NPPES registry on August 31, 2012.

Where is House Of Light Senior Living, LLC located?

House Of Light Senior Living, LLC is located at 2638 Jupiter Blvd SW, Palm Bay, FL 32908. The listed phone number is (321) 368-5611.

What is House Of Light Senior Living, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for House Of Light Senior Living, LLC was last updated on February 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.