LIGHTHOUSE FOR YOUTH (NPI# 1457484875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457484875 |
| Entity Type | Organization |
| Organization Name | LIGHTHOUSE FOR YOUTH |
| Practice Address |
81 Spencer Ct Wakefield RI 02879-2820 |
| Practice Telephone | 4017828940 |
| Practice Fax Number | 4017821145 |
| Mailing Telephone | 4017828940 |
| Mailing Fax Number | 4017821145 |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. KATHERINE O'KULA (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4017828940 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | Residential Treatment Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | LIGHTHOUSE FOR YOUTH, INC. | Gene Cavaliere, 614 Tourtellot Hill Rd, Chepachet, RI 02814 |
| Street Address |
81 SPENCER CT |
| City | WAKEFIELD |
| State | RI |
| Zip Code | 02879-2820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700038387 | Carol Vespia | Counselor | 81 Spencer Ct, Wakefield, RI 02879-2820 | 2008-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831549435 | Bh Brightview Commons Opco, LLC | Alzheimer Center (Dementia Center) | 57 Grandeville Court, Wakefield, RI 02879 | 2016-06-15 |
| 1215392071 | Leslie Healy | Occupational Therapist | 12 Galleon Ct, Wakefield, RI 02879 | 2015-12-22 |
| 1649673799 | Peter Storti | Clinic/Center | 28 Columbia Street, Wakefield, RI 02879 | 2014-10-03 |
| 1285988790 | Silver Spring Health Care Management, Inc. | Physician Assistant | 70 Kenyon Ave Unit 321, Wakefield, RI 02879 | 2012-11-06 |
| 1013271584 | Amy Lee Barker | Speech-Language Pathologist | 213 Robinson Street, Wakefield, RI 02879 | 2012-06-29 |
| 1366708489 | Paige Houlihan | Student in an Organized Health Care Education/Training Program | 91 Rocky Brook Way St, Wakefield, RI 02879 | 2012-04-03 |
| 1639307176 | Perspectives Corporation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 53 Dockray Street, Wakefield, RI 02879 | 2009-06-23 |
| 1649482233 | Marilyn A. Cooney | Speech-Language Pathologist | 307 Curtis Corner Road, Wakefield, RI 02879 | 2007-05-04 |
| 1518184522 | Keeley Therese Dante-card | Registered Nurse | 55 Cherry Lane, Wakefield, RI 02879 | 2007-04-19 |
| 1679799217 | Codac Inc | Peer Specialist | 350 Columbia St, Codac South County, Wakefield, RI 02879 | 2007-04-18 |
| Find all providers in zip 02879 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407076227 | Youth Services International Holdings | Residential Treatment Facility, Emotionally Disturbed Children | 188 Academy Ave, Providence, RI 02908-4452 | 2007-04-26 |
| 1760606396 | Community Solutions, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 785 Greenville Ave, Johnston House, Johnston, RI 02919-1329 | 2007-04-13 |
| 1508080136 | Community Solutions, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 344 Hopkins Hill Rd, Coventry House, Coventry, RI 02816-6332 | 2007-04-13 |
| 1235259631 | Ocean Tides | Residential Treatment Facility, Emotionally Disturbed Children | 635 Ocean Rd, Narragansett, RI 02882-1314 | 2007-03-30 |
| 1386760536 | Perspectives Corporation | Residential Treatment Facility, Emotionally Disturbed Children | 125 Sand Turn Rd, South Kingstown, RI 02879 | 2007-03-21 |
| 1124152392 | Children's Shelter of Blackstone Valley, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 15 Gates St, Pawtucket, RI 02861-3225 | 2007-03-16 |
| 1760513600 | Oakmont Community Resources, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 35 Amey St, Pawtucket, RI 02860-1106 | 2007-03-09 |
| 1245362185 | Washington Park Citizens Association, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1279 Broad St, Providence, RI 02905-2935 | 2007-03-09 |
| 1508997628 | Turning Point | Residential Treatment Facility, Emotionally Disturbed Children | 5 Kids Way, Pawtucket, RI 02860-2206 | 2007-03-08 |
| 1881735389 | Justice Resource Institute, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 818 Dyer Ave, Cranston, RI 02920-6714 | 2007-02-09 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.