Lighthouse Community Center LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

LIGHTHOUSE COMMUNITY CENTER LLC

Practice address

7855 NW 12TH St Ste 117
Doral, FL 33126-1818

Phone

(786) 487-7006

NPI assigned

Feb 8, 2020

Organization subpart

No

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

Authorized official

Name

Lorena Natalia Osella

Title

President

Phone

(786) 487-7006

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1581120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581120000000",
    "number": "1255963153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7855 NW 12TH ST STE 117",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331261818",
            "telephone_number": "786-487-7006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7855 NW 12TH ST STE 117",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331261818",
            "telephone_number": "786-487-7006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE COMMUNITY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-08",
        "last_updated": "2020-02-08",
        "certification_date": "2020-02-08",
        "status": "A",
        "authorized_official_last_name": "OSELLA",
        "authorized_official_first_name": "LORENA",
        "authorized_official_middle_name": "NATALIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-487-7006"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.