Lighthouse RTC

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

3048 Issued in AZ

Legal business name

LIGHTHOUSE RTC

Practice address

13708 E 50TH St
Yuma, AZ 85367-8503

Phone

(928) 246-4664

NPI assigned

Feb 20, 2008

Last updated

May 16, 2008By 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. Terrell Huninger Jr.

Title

Executive Director

Phone

(928) 257-2293

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1203465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210896000000",
    "number": "1780853051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "964 W 34TH PL",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853654357",
            "telephone_number": "928-257-2293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13708 E 50TH ST",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853678503",
            "telephone_number": "928-246-4664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE RTC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-20",
        "last_updated": "2008-05-16",
        "status": "A",
        "authorized_official_last_name": "HUNINGER",
        "authorized_official_first_name": "TERRELL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "928-257-2293",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "AZ",
            "license": "3048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Lewton, PHARMD
• Martha Janeth Leyva Valenzuela
• Cherie P Lhungay, M.D.
• Life Care Centers of America, Inc. (Life Care Center of Yuma)
• Lifecare Pharmacy Yuma LLC
• Martha Patricia Liimatainen, PSY.D.
• Maju Lim, FNP C
• Trinidad Atayoc Lim, M.D.
• Chieh Hsin Lin, M.D.
• Jonathan C Lin, M.D.

• Emotionally Disturbed Childrens' Residential Treatment Facility in Yuma, AZ
• Providers in Yuma, AZ by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; 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.