Organization · Type 2 NPI

Light House Group Home

In Home Supportive Care Agency · Tryon, NC

NPI number 1013392679 Active

Practice location

85 Mimosa Inn Ln
Tryon, NC 28782-8685

Mailing address

20 Jervey Rd, Suite 102
Tryon, NC 28782-0017

Specialties and licenses

TaxonomyCodeLicense
In Home Supportive Care Agency Primary 253Z00000XNone listed
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000XMHL075025 (NC)

In Home Supportive Care Agency: An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medicatio…

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About NPI 1013392679

Light House Group Home's National Provider Identifier is 1013392679, issued on Jul 24, 2015. The primary taxonomy on file is In Home Supportive Care Agency (253Z00000X), and the practice location is in Tryon, NC. The record was last updated on May 5, 2022.