Organization Active NPI

Lighthouse Assisted Living, Inc.

  • Adult Care Home Facility
  • Englewood, CO
National Provider Identifier
1124580071
Registry record updated Apr 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
LIGHTHOUSE ASSISTED LIVING, INC.
Practice address
6318 S Emporia Cir
Englewood, CO 80111-5528
Phone
(720) 344-7217
Fax
(720) 200-4906
NPI assigned
Apr 1, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2019

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

Authorized official

Name
Tom Littleton
Title
President
Phone
(720) 344-7217

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

6318 S Emporia Cir
Englewood, CO 80111-5528

Mailing address

6415 Montano PL
Castle Pines, CO 80108-8139
Phone (720) 344-7217

Other identifiers 1

IdentifierTypeStateIssuer
9000143424MedicaidCO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1554076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554076800000",
    "number": "1124580071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6415 MONTANO PL",
            "city": "CASTLE PINES",
            "state": "CO",
            "postal_code": "801088139",
            "telephone_number": "720-344-7217",
            "fax_number": "720-200-4906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6318 S EMPORIA CIR",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801115528",
            "telephone_number": "720-344-7217",
            "fax_number": "720-200-4906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE ASSISTED LIVING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-01",
        "last_updated": "2019-04-01",
        "status": "A",
        "authorized_official_last_name": "LITTLETON",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "720-344-7217"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000143424",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2019; 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.