Lighthouse Supported Living, LLC
Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities

Address: 1735 Parkford Ln, Columbus, OH 43229-7086
Phone: 6148007842

Lighthouse Supported Living, LLC (NPI# 1528661840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1528661840
Entity Type Organization
Organization Name LIGHTHOUSE SUPPORTED LIVING, LLC
Practice Address 1735 Parkford Ln
Columbus
OH 43229-7086
Practice Telephone 6148007842
Mailing Address Po Box 14399
Columbus
OH 43214-0399
Authorized Official Name Jessica Kaba (OWNER)
Authorized Official Telephone 6148007842
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2020-11-19
Last Update Date 2020-11-19

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities Residential Treatment Facilities

Taxonomy Information

Taxonomy Code 320900000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629680418 Catapillars To Butterflies, LLC Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 5900 Sharon Woods Blvd Ste D, Columbus, OH 43229-2600 2020-08-21
1720559420 Secure Haven Care, LLC Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 4295 Braunton Rd, Columbus, OH 43220-4301 2018-12-06
1851882617 Cg-hhc, LLC Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 200 Civic Center Dr Ste 1200, Columbus, OH 43215-4234 2018-05-28
1659882256 Heinzerling Foundation Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1605 Heinzerling Drive, Columbus, OH 43223 2017-10-23
1679084271 Heinzerling Foundation Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1625 Heinzerling Drive, Columbus, OH 43223 2017-10-23
1902286693 Advoserv of New Jersey, Inc. Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1182 Hedding Rd, Columbus, NJ 08022 2015-06-08
1407234487 Liberty Residential Care Services Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 2878 Ravenswood Ct, Columbus, OH 43232-3830 2015-05-11
1356658918 Jireh Services, Inc. Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 3509 Refugee Rd, Columbus, OH 43232-4830 2010-09-02
1902077258 Viaquest Healthcare Central Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 5314 Redwood Rd, Columbus, OH 43229-4441 2008-03-14
1750576807 Mental Retardation Waiver Program Muscogee Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 2401 Buena Vista Rd, Columbus, GA 31906-3142 2007-09-12
Find all providers in COLUMBUS

Office Location

Street Address 1735 PARKFORD LN
City COLUMBUS
State OH
Zip Code 43229-7086

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1760095988 Place of Hope Inc. Home Health 1395 E Dublin Granville Rd, Ste 321 #b, Columbus, OH 43229 2020-08-27
1831724723 Delvonne Mcadoo Technician 6075 Lepage Court, Columbus, OH 43229 2020-03-11
1962963405 Kayrisha Merica Taylor Case Manager/Care Coordinator 5900a Sharron Woods, Columbus, OH 43229 2019-03-27
1467922435 Latoya Kaye Ogden Case Manager/Care Coordinator 4987 Karl Rd, Columbus, OH 43229 2018-12-03
1265900393 Christiana Brown Case Manager/Care Coordinator 5900a Sharonwoods Blvd, Columbus, OH 43229 2018-11-07
1275008781 La Kenya Renee Turner Case Manager/Care Coordinator 5900 Sharonwoods Blvd, Columbus, OH 43229 2018-10-11
1811490295 Tiffany Nicole Anderson Case Manager/Care Coordinator 5900 Sharonwood Dr., Columbus, OH 43229 2018-03-13
1184138398 Samyell Terry Case Manager/Care Coordinator 5900 Sharonwoods, Col, OH 43229 2017-11-27
1619481108 Ohio Sleep Treatment LLC Dentist 6500 Busch Blvd Ste 104, Columbus, OH 43229 2017-11-20
1740793629 Mary Ervine Case Manager/Care Coordinator 5900 Sharonwoods Blv, Columbus, OH 43229 2017-11-14
Find all providers in zip 43229

Competitor

Search similar providers

City COLUMBUS
Zip Code 43229

Improve Information

Please provide details on Lighthouse Supported Living, LLC by submitting the form below, or post on facebook comments.

Note that the information provided will be posted publicly on this web page. Please do not leave private contact information here. If you would like to contact us, please use this form.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.