Organization Active NPI

Linda Ordway

Doing business as Lighthouse Group Home

  • Child Intellectual and/or Developmental Disabilities Respite Care
  • Columbia, MO
National Provider Identifier
1093855314
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X
License
1849496 Issued in MO
Legal business name
LINDA ORDWAY
Doing business as
Lighthouse Group Home
Practice address
1250 N Dozier Station Rd
Columbia, MO 65202-7798
Phone
(573) 256-6155
Fax
(573) 256-6156
NPI assigned
Feb 7, 2007
Last updated
Jun 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Greg Ordway
Title
Director
Phone
(573) 256-6155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X 1849496 MO Primary

Addresses

Primary practice location

1250 N Dozier Station Rd
Columbia, MO 65202-7798

Mailing address

1250 N Dozier Station Rd
Columbia, MO 65202-7798
Phone (573) 256-6155

Other identifiers 1

IdentifierTypeStateIssuer
856188800MedicaidMO

Other names 1

  • Lighthouse Group Home Doing business as

National Provider Directory

National Provider Directory

Locations

1250 N Dozier Station Rd
Columbia, MO 65202
Phone (573) 256-6155

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1093855314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 N DOZIER STATION RD",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652027798",
            "telephone_number": "573-256-6155",
            "fax_number": "573-256-6156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 N DOZIER STATION RD",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652027798",
            "telephone_number": "573-256-6155",
            "fax_number": "573-256-6156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDA ORDWAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "ORDWAY",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "573-256-6155"
    },
    "taxonomies": [
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "MO",
            "license": "1849496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "856188800",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lighthouse Group Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.