Light House Group Home Llc

LBN: Light House Group Home Llc
Light House Group Home Llc is an health care organization with primary practice located at 108 E 2Nd Ave Ste 101 , Mesa AZ 85210-1410. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, which is considered as the primary health care specialty. Light House Group Home Llc can be contacted via phone (480) 200-1437, or through Presutti, Jeff via phone (480) 332-0385.

Contact Information

Primary practice address
108 E 2Nd Ave Ste 101 Mesa AZ 85210-1410
Phone: (480) 200-1437
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Presutti, Jeff
Phone: (480) 332-0385

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X

Profile Details

NPI number 1154940864
LBN Legal business name Light House Group Home Llc
DBA Doing business as
Authorized official Presutti, Jeff
Entity Organization
Organization subpart 1 No
Enumeration date Apr 13th, 2020
Last updated Apr 13th, 2020 - about 6 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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