Lighthouse Guesthouse, Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

B007002 Issued in KS

Legal business name

LIGHTHOUSE GUESTHOUSE, INC

Practice address

1480 230TH St
Hiawatha, KS 66434-8607

Phone

(785) 742-3336

NPI assigned

Apr 17, 2007

Organization subpart

No

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

Authorized official

Name

Teresa Sanderson, RN

Title

Ceo

Phone

(785) 742-3336

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235354770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1480 230TH ST",
            "city": "HIAWATHA",
            "state": "KS",
            "postal_code": "664348607",
            "telephone_number": "785-742-3336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 230TH ST",
            "city": "HIAWATHA",
            "state": "KS",
            "postal_code": "664348607",
            "telephone_number": "785-742-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE GUESTHOUSE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SANDERSON",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "785-742-3336",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "KS",
            "license": "B007002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tobin James Kriwiel
• Holly Kuckelman, RDN, LD
• Lafayette Lifeplans of Hiawatha Inc.
• Lafayette Lifeplans of Hiawatha, Inc.
• Liberty Senior Living -N H L L C
• Arlene Renee Long, FNP
• Jolene Louise Lowe
• Dana L Lueger, RD, LD
• Janet Susan Lyon, LMLP
• Dawn Marie Masqua, LMSW

• Assisted Living Facility in Hiawatha, KS
• Providers in Hiawatha, KS by specialty
• Assisted Living Facility in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.