NPIMap

Organization Active NPI

Lighthouse Recovery Institute

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Boynton Beach, FL
National Provider Identifier
1770949083
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
50-01 Issued in FL
Legal business name
LIGHTHOUSE RECOVERY INSTITUTE
Practice address
1609 S Congress Ave
Boynton Beach, FL 33426-6543
Phone
(561) 381-0015
Fax
(561) 423-0104
NPI assigned
Jan 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Jordan Whitehead
Title
Director
Phone
(561) 693-2484

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 50-01 FL Primary

Addresses

Primary practice location

1609 S Congress Ave
Boynton Beach, FL 33426-6543

Mailing address

1609 S Congress Ave
Boynton Beach, FL 33426-6543
Phone (561) 381-0015

National Provider Directory

National Provider Directory
Tax ID family
Lighthouse Recovery Institute Inc3 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.

NPI Registry JSON

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

{
    "created_epoch": "1451865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1770949083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 S CONGRESS AVE",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334266543",
            "telephone_number": "561-381-0015",
            "fax_number": "561-423-0104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 S CONGRESS AVE",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334266543",
            "telephone_number": "561-381-0015",
            "fax_number": "561-423-0104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE RECOVERY INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-04",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WHITEHEAD",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "561-693-2484"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "FL",
            "license": "50-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.