Lighthouse Foster Care, LLC.

Primary specialty

Foster Care AgencyTaxonomy code 253J00000X

License

17321 Issued in UT

Legal business name

LIGHTHOUSE FOSTER CARE, LLC.

Practice address

50 E 100 S
Suite #204
St George, UT 84770-2318

Phone

(435) 229-4889

Fax

(877) 628-3606

NPI assigned

Mar 29, 2011

Last updated

Mar 29, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Joseph Tamsamoa Ahquin Sr.

Title

Executive Director

Phone

(435) 229-4889

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1301356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301356800000",
    "number": "1447549621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 E 100 S",
            "address_2": "SUITE #204",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847702318",
            "telephone_number": "435-229-4889",
            "fax_number": "877-628-3606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 E 100 S",
            "address_2": "SUITE #204",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847702318",
            "telephone_number": "435-229-4889",
            "fax_number": "877-628-3606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE FOSTER CARE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-29",
        "last_updated": "2011-03-29",
        "status": "A",
        "authorized_official_last_name": "AHQUIN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "TAMSAMOA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "435-229-4889",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "UT",
            "license": "17746",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "UT",
            "license": "17746",
            "primary": false
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "UT",
            "license": "17321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanna B Liddell, M.S., CCC-SLP
• Life Balance Clinic
• Life Launch Centers, LLC
• Life Launch Centers, LLC
• Kenneth M Lightheart, M.D.
• Christie Lillywhite
• Brittany Liman-Zepeda
• McKenzie Limb
• Lin's Supermarkets Inc (Lin's Supermarkets Inc #6)
• Lin's Supermarkets Inc (Lin's Supermarkets Inc #1)

• Foster Care Agency in St George, UT
• Providers in St George, UT by specialty
• Foster Care Agency in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; 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.