Lighthouse Ranch for Boys Inc.

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

15250 Issued in LA

Legal business name

LIGHTHOUSE RANCH FOR BOYS INC.

Practice address

51453 Hwy 443
Loranger, LA 70446

Phone

(985) 878-6560

Fax

(985) 878-9370

NPI assigned

May 22, 2012

Last updated

May 22, 2012By 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. Daniel Smith

Title

President/Director

Phone

(985) 878-6560

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1337644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337644800000",
    "number": "1770843997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 238",
            "city": "LORANGER",
            "state": "LA",
            "postal_code": "704460238",
            "telephone_number": "985-878-6560",
            "fax_number": "985-878-9370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51453 HWY 443",
            "city": "LORANGER",
            "state": "LA",
            "postal_code": "70446",
            "telephone_number": "985-878-6560",
            "fax_number": "985-878-9370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE RANCH FOR BOYS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-22",
        "last_updated": "2012-05-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT/DIRECTOR",
        "authorized_official_telephone_number": "985-878-6560",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "LA",
            "license": "15250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Tuneea Magee, LMSW
• Kimberly Renee Manina, FNP-C
• Regina Aucoin Margavio, NCC, LPC

• Mental Illness Community Based Residential Treatment Facility in Loranger, LA
• Providers in Loranger, LA by specialty
• Mental Illness Community Based Residential Treatment Facility in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2012; 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.