# LIGHTHOUSE HEALTHCARE INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073534756
- **Authorized official:** WENDY SUTTON (ADMINISTRATOR)
- **Authorized official phone:** (703) 550-1400

## Contact information

- **Practice address:** 8394 G TERMINAL RD, LORTON, VA 22079
- **Practice address phone:** (703) 550-1400
- **Practice address fax:** (703) 550-8860
- **Mailing address:** PO BOX 1043, 8394 G TERMINAL RD, NEWINGTON, VA 22122-1043
- **Mailing address phone:** (703) 550-1400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 01120 | VA | Yes |

## Other

- **Enumeration date:** 07/21/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 196347 | HEALTH KEEPERS PROVIDER \# | VA |