Lighthouse of Hope, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

034525 Issued in MO

Legal business name

LIGHTHOUSE OF HOPE, LLC

Practice address

342 E Broadway St
Bolivar, MO 65613-1680

Phone

(417) 777-2844

Fax

(417) 777-2845

NPI assigned

Aug 29, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Christie Joyell Aman

Title

Owner/Administrative Assistant

Phone

(417) 777-2844

Specialties & licenses 1

Addresses

Other names 1

• Plantation Manor Doing business as

Practitioners 1

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

• Jerald Delbert Forsyth, PSY.D.

  • Clinical Psychologist
  • Rogersville, MO
  • NPI 1558451948
  NPD (past)

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188345600000",
    "number": "1780878090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 E BROADWAY ST",
            "city": "BOLIVAR",
            "state": "MO",
            "postal_code": "656131680",
            "telephone_number": "417-777-2844",
            "fax_number": "417-777-2845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 E BROADWAY ST",
            "city": "BOLIVAR",
            "state": "MO",
            "postal_code": "656131680",
            "telephone_number": "417-777-2844",
            "fax_number": "417-777-2845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE OF HOPE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-29",
        "last_updated": "2007-08-29",
        "status": "A",
        "authorized_official_last_name": "AMAN",
        "authorized_official_first_name": "CHRISTIE",
        "authorized_official_middle_name": "JOYELL",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "417-777-2844",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MO",
            "license": "034525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Plantation Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bethany S Lemmon, PA-C
• Steven Glenn Lesh, PT
• Lester E Cox Medical Centers
• James G Liesen, DO
• Melissa Lightfoot
• Greg Link, DO
• Tammy Lynn Lippincott, L.M.T
• Wanita Lister, FNP-C
• Nicholas Allen Locke, NP-C
• Loehr Health Center Bolivar LLC

• Assisted Living Facility in Bolivar, MO
• Providers in Bolivar, MO by specialty
• Assisted Living Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2007; 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.