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).
| 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 |
| 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 Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| 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] |
| 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 | ||||
| Street Address |
1735 PARKFORD LN |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43229-7086 |
| 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 | ||||
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| 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.