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General NPI Number Information
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NPI Number | 1063325884
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Entity Type | Organization
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Legal Business Name | LIGHTHOUSE CARE REGISTRY LLC
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Dates
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Enumeration Date | 09/23/2026
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Last Update Date | 09/23/2026
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Provider Practice Location Address
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Address Line | 6303 WATERFORD DISTRICT DR STE 400
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City | MIAMI
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State | FL
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Zip | 33126-6040
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Country | US
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Telephone | 786-439-8939
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Fax |
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Provider Business Mailing Address
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Address Line | 5830 SW 144TH CIRCLE PL
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City | MIAMI
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State | FL
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Zip | 33183-1069
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MARIA SANTANA
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Credential |
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Telephone | 786-439-8939
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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