Lighthouse Community Support

LBN: Lighthouse Community Support
Lighthouse Community Support is an health care organization with primary practice located at 600 W Division St Unit B , Dover DE 19904-2702. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as the primary health care specialty. Lighthouse Community Support can be contacted via phone (267) 815-4350, or through Moody, Martona via phone (302) 777-5473.

Contact Information

Primary practice address
600 W Division St Unit B Dover DE 19904-2702
Phone: (267) 815-4350
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Moody, Martona
Phone: (302) 777-5473

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1568280592
LBN Legal business name Lighthouse Community Support
DBA Doing business as
Authorized official Moody, Martona
Entity Organization
Organization subpart 1 No
Enumeration date Sep 30th, 2024
Last updated Jul 16th, 2026 - about 4 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568280592 NPPES
Delaware MEDICAID 1831481761

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