Provider Demographics
NPI:1548403801
Name:A LIGHTHOUSE IN THE PALM BEACHES HOME CARE, LLC
Entity Type:Organization
Organization Name:A LIGHTHOUSE IN THE PALM BEACHES HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SILKWORTH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-434-7896
Mailing Address - Street 1:6542 HYPOLUXO RD
Mailing Address - Street 2:SUITE 299
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33467-7678
Mailing Address - Country:US
Mailing Address - Phone:561-434-7896
Mailing Address - Fax:561-422-4607
Practice Address - Street 1:3900 WOODLAKE BLVD
Practice Address - Street 2:SUITE 301C
Practice Address - City:GREENACRES
Practice Address - State:FL
Practice Address - Zip Code:33463-3044
Practice Address - Country:US
Practice Address - Phone:561-434-7896
Practice Address - Fax:561-422-4607
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-15
Last Update Date:2009-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL231062251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health