LIGHTHOUSE GROUP HOMES, LLC (NPI# 1760081228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760081228 |
| Entity Type | Organization |
| Organization Name | LIGHTHOUSE GROUP HOMES, LLC |
| Practice Address |
2109 Quail Run Apt B Mckinney TX 75071-1013 |
| Practice Telephone | 4698456419 |
| Mailing Telephone | 4698456419 |
| Enumeration Date | 2020-10-25 |
| Last Update Date | 2020-10-25 |
| Authorized Official Name | MS. TANDY LEANNE FAULKNER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4698456419 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | Agencies | ||
| N | 320700000X | Residential Treatment Facility, Physical Disabilities | Residential Treatment Facilities | ||
| N | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities | ||
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Street Address |
2109 QUAIL RUN APT B |
| City | MCKINNEY |
| State | TX |
| Zip Code | 75071-1013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285256636 | Bear Dental Corp | Dentist | 210 N. Coit Rd., Mckinney, TX 75071 | 2020-05-08 |
| 1295377018 | Emily Brooke Woodmansee | Speech-Language Pathologist | 2720 Virginia Pkwy #300, Mckinney, TX 75071 | 2019-10-14 |
| 1457838542 | Komeka Biddle | Counselor | 4300 Community Avenue, Mckinney, TX 75071 | 2018-07-23 |
| 1235620386 | Sithandiwe Mahlamvana | Registered Nurse | 2217 Jocelyn Way, Mckinney, TX 75071 | 2018-05-24 |
| 1659869758 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 3650 W. University Dr., Mckinney, TX 75071 | 2018-04-25 |
| 1356843825 | Lumincare Physician Group, Pa | Family Medicine | 210 N Custer Road Suite 100, Mckinney, TX 75071 | 2018-03-01 |
| 1699294918 | Zuva Healthcare Services, LLC | Home Health | 5225 Pinewood Dr, Mckinney, TX 75071 | 2017-09-18 |
| 1568984300 | Changes Premier Health, LLC | Social Worker | 1820 N Lake Forest Drive, Mckinney, TX 75071 | 2017-07-13 |
| 1053847418 | Chinenye Emereole | Pharmacist | 2808 Arbury Dr, Mckinney, TX 75071 | 2017-05-04 |
| 1912441254 | Talo Paris Physicians, Pllc | Specialist | 5100 Eldorado, Ste 102 #715, Mckinney, TX 75071 | 2016-12-06 |
| Find all providers in zip 75071 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215477799 | 1-2-1 Community Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4100 Eldorado Pkwy Ste 100, Mckinney, TX 75070-4530 | 2017-03-02 |
| 1063951002 | Iam Capital Group LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4100 Eldorado Pkwy, #100, Mckinney, TX 75070-6102 | 2017-02-22 |
| 1962753913 | A Better Choice LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5913 Big Pine Dr, Mckinney, TX 75070-9586 | 2012-09-29 |
| 1770108953 | Jared Coffey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4601 Medical Center Dr Ste F, Mckinney, TX 75069-1771 | 2020-06-12 |
| 1467085043 | Unlimited Care Facility LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3609 Truman St, Mckinney, TX 75071-2909 | 2020-02-21 |
| 1114122330 | Audrey D Alexander | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6524 Canyon Crest Dr, Mckinney, TX 75071-4694 | 2007-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750980686 | Mimshack Care Homes LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 12330 Springcrest Dr, Houston, TX 77072-3219 | 2020-10-21 |
| 1679172936 | Re-care Incorporated | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 200 University Blvd Ste 225-374, Round Rock, TX 78665-1001 | 2020-10-19 |
| 1407454176 | Viandsa Care Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 17203 Quiet Song Ct, Richmond, TX 77407-2964 | 2020-10-14 |
| 1053919050 | Building Bridges In Healthcare LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2007 Liberty Cove Ct, Richmond, TX 77469-2338 | 2020-10-12 |
| 1497353635 | Helping Hearts Residential Care, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 20319 Bridge Manor Ln, Richmond, TX 77407-6494 | 2020-10-10 |
| 1750989067 | Able Wisdom Services Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2203 Huntington Dr, Wylie, TX 75098-7164 | 2020-10-09 |
| 1518573609 | Jbk House of Care LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2624 Grand Gulf Rd, Fort Worth, TX 76123-2613 | 2020-09-23 |
| 1700492352 | St Monica Healthcare Services Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11311 Scottsdale Dr, Meadows Place, TX 77477-1811 | 2020-09-18 |
| 1265047534 | Compassion Structured Living Center LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 13578 San Martin Ln, Houston, TX 77083-5135 | 2020-09-13 |
| 1497369474 | Nexphase Healthcare LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1201 N Watson Rd Ste 205, Arlington, TX 76006-6120 | 2020-09-07 |
| 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.