Lighthouse Complex Care of Delaware Inc
NPI 1720797251ActiveOrganization· Clinic/Center, Multi-Specialty· Wilmington, DE
Clinic/Center, Multi-Specialty in Wilmington, Delaware, registered in NPPES in November 2022. The authorized official on file is Meera Manickam, Owner. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1720797251 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 23, 2022 |
| Last updated in NPPES | Apr 2, 2024 |
| Certified by provider | Apr 2, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center, Multi-Specialty Primary | 261QM1300X | — | — |
| Family Medicine | 207Q00000X | — | — |
| Pediatrics | 208000000X | — | — |
| Psychiatry & Neurology, Psychiatry | 2084P0800X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (DE); Part B Supplier - Clinic/Group Practice (PA) |
|---|
Other Clinic/Center, Multi-Specialty providers in Wilmington
- 1053124156
- 1366594699
- 1376305847
- 1427704246
- 1669287215
- 1851104954
- 1932881166
- 1972987253