Lighthouse Crew

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

LIGHTHOUSE CREW

Practice address

417 SW 12TH St
Fort Lauderdale, FL 33315-1406

Phone

(954) 522-5003

NPI assigned

Sep 17, 2014

Last updated

Sep 17, 2014By 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. Jim Eschbach

Title

President

Phone

(954) 522-5003

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1410912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410912000000",
    "number": "1730581117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "757 SE 17TH ST # 811",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 SW 12TH ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333151406",
            "telephone_number": "954-522-5003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE CREW",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-17",
        "last_updated": "2014-09-17",
        "status": "A",
        "authorized_official_last_name": "ESCHBACH",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-522-5003",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lifestyle by Design, LLC
• Light Angels Behavioral Therapy Inc
• Light of Life, Inc.
• Daniel A Light, PT, DPT
• Luther Light, MS, MBA, DDS
• Lighthouse of Broward County, Inc. (Lighthouse of Broward)
• Shara Ligonde, LMHC
• Joshua James Lim, DO
• David Lima Limas
• Andrey Lima, MD

• Substance Abuse Rehabilitation Facility in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Substance Abuse Rehabilitation Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2014; 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.