Active NPI
Lighthouse Recovery Center, Inc.
- Substance Abuse Rehabilitation Facility
- Washington, IN
National Provider Identifier
1770047565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- LIGHTHOUSE RECOVERY CENTER, INC.
- Practice address
- 311 E Main St
Washington, IN 47501-2915 - Phone
- (812) 698-7631
- Fax
- (812) 257-8825
- NPI assigned
- Jan 25, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Terry D. Baker
- Title
- Operations Officer
- Phone
- (812) 698-7631
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | Primary |
Addresses
Primary practice location
311 E Main St
Washington, IN 47501-2915
Mailing address
311 E Main St
Washington, IN 47501-2915
Phone (812) 698-7631
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548374400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1548374400000",
"number": "1770047565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 E MAIN ST",
"city": "WASHINGTON",
"state": "IN",
"postal_code": "475012915",
"telephone_number": "812-698-7631",
"fax_number": "812-257-8825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 E MAIN ST",
"city": "WASHINGTON",
"state": "IN",
"postal_code": "475012915",
"telephone_number": "812-698-7631",
"fax_number": "812-257-8825"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIGHTHOUSE RECOVERY CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2019-01-25",
"last_updated": "2019-01-25",
"status": "A",
"authorized_official_last_name": "BAKER",
"authorized_official_first_name": "TERRY",
"authorized_official_middle_name": "D.",
"authorized_official_title_or_position": "OPERATIONS OFFICER",
"authorized_official_telephone_number": "812-698-7631"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.