Lighthouse Icf/DDN

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

LIGHTHOUSE ICF/DDN

Practice address

17001 Saga Dr
Yorba Linda, CA 92886-3627

Phone

(714) 223-1220

NPI assigned

Nov 15, 2013

Organization subpart

No

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

Authorized official

Name

Renee Brown

Title

Owner/Administrator

Phone

(714) 335-9305

Specialties & licenses 1

Addresses

Tax ID family

Garden Park2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Todd B. Brown

  dba Garden Park

  • Nursing Facility/Intermediate Care Facility
  • Yorba Linda, CA
  • NPI 1972609998
  NPD tax ID

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

{
    "created_epoch": "1384473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384473600000",
    "number": "1265862973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5025 MARSHBURN CIR",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928863926",
            "telephone_number": "714-335-9305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17001 SAGA DR",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928863627",
            "telephone_number": "714-223-1220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE ICF/DDN",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-15",
        "last_updated": "2013-11-15",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "714-335-9305"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cherylin Lea Lew, OTD, OTR/L
• He Li
• Jeffrey Li
• Weibo Li, ACUPUNCTURIST
• Lifetime Physical Therapy and Fitness Inc (Lifetime Home Health and Wellness)
• Joseph Joon Lim, D.D.S.
• Ren Lim
• Silvester Roque Lim, M.D.
• Limitless Littles Therapy
• Tina Jia-Feng Lin-Chung

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Yorba Linda, CA
• Providers in Yorba Linda, CA by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2013; 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.