Arizona Lighthouse Assisted Living Llc

LBN: Arizona Lighthouse Assisted Living Llc
Arizona Lighthouse Assisted Living Llc is an health care organization with primary practice located at 13530 W Tuckey Ct , Glendale AZ 85307-2067. The organization recently has 7 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Home Health, Agencies / Hospice Care, Community Based, Agencies / Community/Behavioral Health, Nursing & Custodial Care Facilities / Assisted Living, Mental Illness, Nursing & Custodial Care Facilities / Assisted Living, Behavioral Disturbances, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities is the primary health care specialty. Arizona Lighthouse Assisted Living Llc can be contacted via phone (623) 249-1119, or through Hargrove, Bennie Lee via phone (623) 249-1119.

Contact Information

Primary practice address
13530 W Tuckey Ct Glendale AZ 85307-2067
Phone: (623) 249-1119
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hargrove, Bennie Lee
Phone: (623) 249-1119

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X
Agencies / Home Health 251E00000X
Agencies / Hospice Care, Community Based 251G00000X
Agencies / Community/Behavioral Health 251S00000X
Nursing & Custodial Care Facilities / Assisted Living, Mental Illness 3104A0625X
Nursing & Custodial Care Facilities / Assisted Living, Behavioral Disturbances 3104A0630X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X

Profile Details

NPI number 1972388999
LBN Legal business name Arizona Lighthouse Assisted Living Llc
DBA Doing business as
Authorized official Hargrove, Bennie Lee
Entity Organization
Organization subpart 1 No
Enumeration date Aug 28th, 2023
Last updated Aug 28th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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