Organization
LIGHTHOUSE HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMSON I OYATOKI (CEO/ADMINISTRATOR)
(608) 419-6262
Entity
Organization
Contact information
Practice address
7628 LISA LN APT 310, MIDDLETON, WI 53562-1452
(770) 490-6497
Mailing address
7628 LISA LN APT 310, MIDDLETON, WI 53562-1452
(608) 419-6262
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
05/06/2026
Last updated
05/15/2026
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