NPIMap

Organization Active NPI

The Lighthouse of Love

  • Community/Behavioral Health Agency
  • Phoenix, AZ
National Provider Identifier
1417579749
Registry record updated May 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
THE LIGHTHOUSE OF LOVE
Practice address
5060 N 19TH Ave Ste 300-28
Phoenix, AZ 85015-3210
Phone
(702) 633-7923
Fax
(702) 633-7610
NPI assigned
May 8, 2020
Last updated
May 8, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2020

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

Authorized official

Name
Ladonna Kay Wright Tapplin
Title
Owner
Phone
(702) 633-7923

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

5060 N 19TH Ave Ste 300-28
Phoenix, AZ 85015-3210

Mailing address

730 W Cheyenne Ave Ste 40
North Las Vegas, NV 89030-7849
Phone (702) 633-7923

National Provider Directory

National Provider Directory
Tax ID family
The Lighthouse of Love3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

730 W Cheyenne Ave
Ste 40
North Las Vegas, NV 89030
Phone (702) 633-7923

Practitioners & affiliated clinicians

Practitioners 4

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": "1588896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588896000000",
    "number": "1417579749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 W CHEYENNE AVE STE 40",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890307849",
            "telephone_number": "702-633-7923",
            "fax_number": "702-633-7610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5060 N 19TH AVE STE 300-28",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850153210",
            "telephone_number": "702-633-7923",
            "fax_number": "702-633-7610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LIGHTHOUSE OF LOVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-08",
        "last_updated": "2020-05-08",
        "certification_date": "2020-05-08",
        "status": "A",
        "authorized_official_last_name": "WRIGHT TAPPLIN",
        "authorized_official_first_name": "LADONNA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-633-7923"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

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