Organization Active NPI

Lighthouse Residential Care LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Coral Springs, FL
National Provider Identifier
1689594244
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
LIGHTHOUSE RESIDENTIAL CARE LLC
Practice address
1515 N University Dr Ste 112
Coral Springs, FL 33071-6065
Phone
(754) 241-3155
Fax
(866) 635-1584
NPI assigned
Jul 15, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Authorized official

Name
Altia Landis, APRN
Title
Owner
Phone
(754) 241-3155

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

1515 N University Dr Ste 112
Coral Springs, FL 33071-6065

Mailing address

1515 N University Dr Ste 112
Coral Springs, FL 33071-6065
Phone (754) 241-3155

National Provider Directory

National Provider Directory
Tax ID family
Lighthouse Residential Care LLC2 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.

NPI Registry JSON

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

{
    "created_epoch": "1784073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784073600000",
    "number": "1689594244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 N UNIVERSITY DR STE 112",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330716065",
            "telephone_number": "754-241-3155",
            "fax_number": "866-635-1584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 N UNIVERSITY DR STE 112",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330716065",
            "telephone_number": "754-241-3155",
            "fax_number": "866-635-1584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE RESIDENTIAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-15",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A",
        "authorized_official_last_name": "LANDIS",
        "authorized_official_first_name": "ALTIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "754-241-3155",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; 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.