NPIMap

Organization Active NPI

JC Lighthouse

  • Respite Care
  • Reno, NV
National Provider Identifier
1750889663
Registry record updated Sep 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
Legal business name
JC LIGHTHOUSE
Practice address
1575 Delucchi LN Ste 220
Reno, NV 89502-8521
Phone
(775) 825-7500
Fax
(775) 825-7550
NPI assigned
Jan 25, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2021

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

Authorized official

Name
Chandra Williams
Title
Ceo
Phone
(775) 825-7500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X Primary

Addresses

Primary practice location

1575 Delucchi LN Ste 220
Reno, NV 89502-8521

Mailing address

6490 S. McCarran Blvd
Building C Unit 21
Reno, NV 89509-8521
Phone (775) 825-7500

Other names 1

  • JC Family Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
JC Lighthouse3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6490 S McCarran Blvd
Ste C21
Reno, NV 89509
Phone (775) 825-7500

1575 Delucchi Ln
Ste 220
Reno, NV 89502
Phone (775) 825-7500

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1516838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632873600000",
    "number": "1750889663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6490 S. MCCARRAN BLVD",
            "address_2": "BUILDING C UNIT 21",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895098521",
            "telephone_number": "775-825-7500",
            "fax_number": "775-825-7550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 DELUCCHI LN STE 220",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895028521",
            "telephone_number": "775-825-7500",
            "fax_number": "775-825-7550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JC LIGHTHOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-25",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "CHANDRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "775-825-7500"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JC Family Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; 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.