LIGHTHOUSE FAMILY CARE (NPI# 1629494380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629494380 |
| Entity Type | Organization |
| Organization Name | LIGHTHOUSE FAMILY CARE |
| Practice Address |
9612 Telegraph Rd Glen Allen VA 23060-2309 |
| Practice Telephone | 8049019777 |
| Mailing Telephone | 8049019777 |
| Enumeration Date | 2014-03-05 |
| Last Update Date | 2014-03-05 |
| Authorized Official Name | GLORIA R BYRDSONG (OWNER) |
| Authorized Official Telephone | 8049019777 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972618197 | Lighthouse Family Care | Family Medicine | 9400 Gladiolus Dr, Ste 50, Fort Myers, FL 33908 | 2006-08-20 |
| Street Address |
9612 TELEGRAPH RD |
| City | GLEN ALLEN |
| State | VA |
| Zip Code | 23060-2309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205469715 | Romy Sharieff | Midwife | 10433 Mountain Glen Pkwy, Glen Allen, VA 23060 | 2020-02-13 |
| 1366934549 | Guillermo Del Campo | Optometrist | 4114 Innslake Drive, Glen Allen, VA 23060 | 2018-06-04 |
| 1871013771 | Wecare Medical Transportation Inc. | Driver | 10524 Boscastle Rd, Glen Allen, VA 23060 | 2017-06-21 |
| 1265889570 | Darchelle Braxton Dmd PC | Dentist | 4300 Pouncey Tract Road Suite I, Glen Allen, VA 23060 | 2016-05-17 |
| 1952714842 | Gaynier Orthodontics PC | Clinic/Center | 4701 Cox Rx Ste 285, C/o Ct Corporation, Glen Allen, VA 23060 | 2014-06-09 |
| 1538507819 | Rca Laboratory Services, LLC | Clinical Medical Laboratory | 4060 Innslake Dr, Glen Allen, VA 23060 | 2013-06-10 |
| 1922352772 | Samantha S Stone | Physical Therapist | 4101 Cox Rd Ste 100, Glen Allen, VA 23060 | 2012-11-01 |
| 1609123660 | Stephanie Rene Matsko | Optometrist | 4114 Innslake Dr., Glen Allen, VA 23060 | 2012-08-09 |
| 1851661367 | Lateaka Sheri Vinson | Speech-Language Pathologist | 2250 Old Brick Rd, Suite 2229, Glen Allen, VA 23060 | 2012-01-01 |
| 1568774271 | Cynthia A Koza | Optometrist | 4600 Cox Road, Suite 120, Glen Allen, VA 23060 | 2010-07-10 |
| Find all providers in zip 23060 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538704770 | Rise Services LLC | Community/Behavioral Health | 11357 Nuckois Road, Suite 2043, Glen Allen, VA 23059 | 2019-11-12 |
| 1023595089 | Community Aid, LLC | Community/Behavioral Health | 9609 Dink Ln, Glen Allen, VA 23060-2380 | 2018-07-23 |
| 1033611397 | Professional Therapeutic Services | Community/Behavioral Health | 2920 Mary Beth Ln, Glen Allen, VA 23060-7337 | 2018-03-02 |
| 1164844635 | Village Youth and Family Services | Community/Behavioral Health | 564 Siena Ln, Glen Allen, VA 23059-1115 | 2014-01-17 |
| 1396185013 | Valor Health Care Service, Inc | Community/Behavioral Health | 4701 Cox Rd Ste 301, Glen Allen, VA 23060-6802 | 2013-06-26 |
| 1578908505 | B& W Supportive Counseling Group, LLC | Community/Behavioral Health | 9737 Greenmeadow Cir, Glen Allen, VA 23060-3569 | 2013-05-03 |
| 1912288747 | Family Integrated Counseling Services | Community/Behavioral Health | 4001 Springfield Rd, 200, Glen Allen, VA 23060-4181 | 2011-09-07 |
| 1801100862 | Team Counseling and Psychological Services, Incorporated | Community/Behavioral Health | 10712 Toston Ln, Glen Allen, VA 23060-6496 | 2010-08-02 |
| 1568696904 | Broken Chain Foundation | Community/Behavioral Health | 4824 Kellywood Dr, Glen Allen, VA 23060-3643 | 2009-05-13 |
| 1073151395 | Let's Put Our Kids First | Community/Behavioral Health | 4570 Marshall Run Cir Apt 308, Glen Allen, VA 23059-5881 | 2019-12-17 |
| Find all providers in GLEN ALLEN | ||||
| City | GLEN ALLEN |
| Zip Code | 23060 |
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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.