LIGHTHOUSE RESIDENTIAL HOME


Address: 5219 Summerleaf Dr, North Chesterfield, VA 23234-2817
Phone: 8043371403

LIGHTHOUSE RESIDENTIAL HOME (NPI# 1407483316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407483316
Entity Type Organization
Organization Name LIGHTHOUSE RESIDENTIAL HOME
Practice Address 5219 Summerleaf Dr
North Chesterfield
VA 23234-2817
Mailing Address 13518 Marsh Elder Ct
Chesterfield
VA 23838-3406
Practice Telephone 8043371403
Practice Fax Number 8045902763
Mailing Telephone 8043371403
Mailing Fax Number 8045902763
Enumeration Date 2020-03-23
Last Update Date 2020-04-09
Authorized Official Name ROBERT EARL OWENS JR. (PRESIDENT)
Authorized Official Telephone 8043371403
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities Residential Treatment Facilities

Office Location

Street Address 5219 SUMMERLEAF DR
City NORTH CHESTERFIELD
State VA
Zip Code 23234-2817

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Taxonomy Information

Taxonomy Code 320600000X
Grouping Residential Treatment Facilities
Classification Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568069987 New Development Services LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 4610 Milfax Rd, North Chesterfield, VA 23224-5604 2020-10-08
1326568205 Lumzy's Residential Inc Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 7433 Cotfield Rd, North Chesterfield, VA 23237-1841 2017-06-22
1114353463 Overcomers Residential Services, LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 2519 Professional Rd, Suite A, North Chesterfield, VA 23235-3200 2013-09-18
1578824538 Bridgeway Residential Services Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 5118 Bridgeside Dr, North Chesterfield, VA 23234-2860 2012-06-06
1033493200 Skye Is The Limit Residential Services Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 9916 Reymet Ct, North Chesterfield, VA 23237-2375 2011-10-05

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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1114524766 Latoya Steward Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 805 Admiral Gravely Blvd, Richmond, VA 23231 2020-10-07
1780281808 Romco Enterprises, Inc Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 3409 Scott St, Portsmouth, VA 23707-4001 2020-10-01
1710596051 Dare To Dream Family Services, LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 2905 Steed Ct, Chesapeake, VA 23323-2843 2020-07-22
1780208660 Excel Family Services of Virginia, LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1100 Hubbell Dr, Virginia Beach, VA 23454-5633 2020-06-05
1366064313 Monica Lotoria Ballou Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1345 N Main St, Danville, VA 24540-3721 2020-05-13
1790306934 Serenity Residential Servicess, LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 6225 Wilmington Dr, Burke, VA 22015-3828 2020-04-28
1457983538 Rokel Health Care Services LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 7905 Dassett Ct Apt 304, Annandale, VA 22003-4878 2020-02-06
1790316388 Precious Healthcare LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 6732 Harrison Ln, Alexandria, VA 22306-1526 2020-02-01
1134766686 Integrity Family Service Corp Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 9409 Snowbird Rd, Chesterfield, VA 23832-6820 2019-12-03
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Competitor

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City NORTH CHESTERFIELD
Zip Code 23234

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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.

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