Active NPI
Lighthouse Beacon of Hope
- Intellectual Disabilities Intermediate Care Facility
- Richmond, VA
National Provider Identifier
1922834100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual Disabilities Intermediate Care Facility
- Legal business name
- LIGHTHOUSE BEACON OF HOPE
- Practice address
- 3925 Sherbrook Rd
Richmond, VA 23235-2023 - Phone
- (888) 340-5305
- NPI assigned
- Sep 12, 2024
- 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
- Mrs. Charmaine Faye Draughn-Lightner, BA BS
- Title
- QP and Instuctor
- Phone
- (888) 340-5305
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | Primary |
Addresses
Primary practice location
3925 Sherbrook Rd
Richmond, VA 23235-2023
Mailing address
514 Daniels St Ste 157
Raleigh, NC 27605-1317
Phone (888) 340-5305
National Provider Directory
National Provider Directory- Tax ID family
- Lighthouse Beacon of Hope
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Intellectual Disabilities Intermediate Care Facility
- Richmond, VA
- NPI 1265265631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726099200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1726099200000",
"number": "1922834100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "514 DANIELS ST STE 157",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276051317",
"telephone_number": "888-340-5305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3925 SHERBROOK RD",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232352023",
"telephone_number": "888-340-5305"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIGHTHOUSE BEACON OF HOPE",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-12",
"last_updated": "2024-09-12",
"certification_date": "2024-08-21",
"status": "A",
"authorized_official_last_name": "DRAUGHN-LIGHTNER",
"authorized_official_first_name": "CHARMAINE",
"authorized_official_middle_name": "FAYE",
"authorized_official_title_or_position": "QP AND INSTUCTOR",
"authorized_official_telephone_number": "888-340-5305",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "BA BS"
},
"taxonomies": [
{
"code": "315P00000X",
"taxonomy_group": "",
"desc": "Intermediate Care Facility, Intellectual Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.