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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
Street Address |
5219 SUMMERLEAF DR |
City | NORTH CHESTERFIELD |
State | VA |
Zip Code | 23234-2817 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750941415 | Sabrina Branch Griffin | Registered Nurse | 3513 Skipping Rock Way, Richmond, VA 23234 | 2019-06-15 |
1306368782 | Nile LLC. | Taxi | 5580 Heatherhill Dr., North Chesterfield, VA 23234 | 2017-07-07 |
1467808923 | Donnell Fonville | Driver | 4137 Woodfield Rd, N Chesterfield, VA 23234 | 2016-05-13 |
1710225818 | Vernon J Harris East End Community Health Center | Clinic/Center | 2740 Bensley Commons Boulevard, Chesterfield, VA 23234 | 2013-01-24 |
1063799260 | Professional Mental Health Educational Consultants, LLC | Psychologist | 4222 Bonnie Bank Road, Suite 300, Richmond, VA 23234 | 2011-11-16 |
1184930463 | Abundant Life Center IIh & Mhss | Community/Behavioral Health | 4222 Bonniebank Rd #304, Richmond, VA 23234 | 2010-08-25 |
1164675385 | Kingdom Dominion LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 7024 O Malley Dr, Same, Richmond, VA 23234 | 2008-10-31 |
1417128463 | Tsg Services, Inc. | Day Training, Developmentally Disabled Services | 6401 Irongate Drive, Richmond, VA 23234 | 2008-03-18 |
1942479381 | Coretha Marie Claiborn | Counselor | 700 S. Sycamore Street, Suite 6, Petersburg, VA 23234 | 2008-02-29 |
1366572372 | Kids In Focus II, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 6507 Irongate Road, Richmond, VA 23234 | 2007-03-07 |
Find all providers in zip 23234 |
Taxonomy Code | 320600000X |
Grouping | Residential Treatment Facilities |
Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
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] |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457952905 | Amazing Hands Health Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 25873 Kirkwood Sq, Chantilly, VA 20152-2086 | 2020-11-02 |
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 |
Find all providers with the same taxonomy |
City | NORTH CHESTERFIELD |
Zip Code | 23234 |
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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.