Organization Active NPI

Lighthouse Center Inc.

Doing business as Sabra House DBA The Lighthouse Center

  • Clinical Social Worker
  • Scottsdale, AZ
National Provider Identifier
1144214354
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-0170 Issued in AZ
Legal business name
LIGHTHOUSE CENTER INC.
Doing business as
Sabra House DBA The Lighthouse Center
Practice address
10752 N 89TH PL
Suite 113
Scottsdale, AZ 85260-6730
Phone
(480) 451-0819
Fax
(480) 860-2522
NPI assigned
Sep 2, 2005
Last updated
Mar 6, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2008

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

Authorized official

Name
Sabra J House, LCSWNPI 1053597815
Title
Director, Ceo and Therapist
Phone
(480) 451-0819

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW-0170 AZ Primary

Addresses

Primary practice location

10752 N 89TH PL
Suite 113
Scottsdale, AZ 85260-6730

Mailing address

10752 N 89TH PL
Suite 113
Scottsdale, AZ 85260-6730
Phone (480) 451-0819

Other names 1

  • Sabra House DBA The Lighthouse Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080319000025 AZ Part B Supplier - Clinic/Group Practice 9436235306 Receives reassigned benefits from 1 practitioner
Practice locations: Scottsdale, AZ

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204761600000",
    "number": "1144214354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10752 N 89TH PL",
            "address_2": "SUITE 113",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606730",
            "telephone_number": "480-451-0819",
            "fax_number": "480-860-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10752 N 89TH PL",
            "address_2": "SUITE 113",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606730",
            "telephone_number": "480-451-0819",
            "fax_number": "480-860-2522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-02",
        "last_updated": "2008-03-06",
        "status": "A",
        "authorized_official_last_name": "HOUSE",
        "authorized_official_first_name": "SABRA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR, CEO AND THERAPIST",
        "authorized_official_telephone_number": "480-451-0819",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-0170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sabra House DBA The Lighthouse Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.