Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
LIGHTHOUSE HOME CARE
Active
Organization
LIGHTHOUSE HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRYSTAL BAKER FASSOLD (ADMINISTRATOR)
(772) 466-9199
Entity
Organization
Contact information
Practice address
1805 S 25TH ST STE B, FORT PIERCE, FL 34947-4752
(772) 466-9199
(772) 466-4776
Mailing address
1805 S 25TH ST STE B, FORT PIERCE, FL 34947-4752
(772) 466-9199
(772) 466-4776
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
NR30211217
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
688593498
—
FL
Enumeration date
05/24/2007
Last updated
08/13/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers