Lighthouse Recovery Services LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

15423 Issued in OH

Legal business name

LIGHTHOUSE RECOVERY SERVICES LLC

Practice address

2934 Hanover Dr
Lima, OH 45805-2926

Phone

(419) 303-1311

Fax

(419) 463-9255

NPI assigned

Mar 25, 2016

Organization subpart

No

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

Authorized official

Name

Cynthia Hites, PMHNP-BC

Title

Psychiatric Nurse Practitioner

Phone

(419) 303-1311

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1458864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458864000000",
    "number": "1548622723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 S CABLE RD STE C",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458053467",
            "telephone_number": "419-303-1311",
            "fax_number": "419-463-9255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2934 HANOVER DR",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458052926",
            "telephone_number": "419-303-1311",
            "fax_number": "419-463-9255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE RECOVERY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-25",
        "last_updated": "2016-03-25",
        "status": "A",
        "authorized_official_last_name": "HITES",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "419-303-1311",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "15423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jade Lightfoot, RN, CNP
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• Robin R Lightle, PTA
• Kayla Liles
• Lima Acres Nursing & Rehabilitation Center, LLC
• Lima Allen County Paramedics Inc
• Lima Anesthesia & Pain Treatment Professional Corporation

• Psychiatric/Mental Health Nurse Practitioner in Lima, OH
• Providers in Lima, OH by specialty
• Psychiatric/Mental Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2016; 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.