Lighthouse Residenital

Primary specialty

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

Legal business name

LIGHTHOUSE RESIDENITAL

Practice address

10200 W 44TH Ave Ste 400B
Wheat Ridge, CO 80033-6826

Phone

(720) 465-0920

Fax

(303) 337-0038

NPI assigned

Mar 30, 2018

Organization subpart

No

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

Authorized official

Name

Teresa Hornbuckle

Title

Executive Director

Phone

(720) 465-0920

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1522368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522368000000",
    "number": "1710483714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10200 W 44TH AVE STE 400B",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336826",
            "telephone_number": "720-465-0920",
            "fax_number": "303-337-0038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10200 W 44TH AVE STE 400B",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336826",
            "telephone_number": "720-465-0920",
            "fax_number": "303-337-0038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE RESIDENITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-30",
        "last_updated": "2018-03-30",
        "status": "A",
        "authorized_official_last_name": "HORNBUCKLE",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "720-465-0920"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly A Lewis
• Melissa Nicole Lewis
• Mindy Lieberman, CSW-C
• Shari Michelle Lightfield, LPC
• Kaitlyn Nicole Lightfoot, LCSW
• Stephanie Sloan Lightle, PT
• Nina Elizabeth Lillehei
• Carrie Anne Lindberg, LPC
• Viktoria Torsdotter Lindberg, APRN-BC, FNP
• Maya Lindgren

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Wheat Ridge, CO
• Providers in Wheat Ridge, CO by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2018; 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.