National Provider Identifier Database

LIGHTHOUSE RECOVERY SERVICES LLC
Rehabilitation, Substance Use Disorder


Contact Information

LIGHTHOUSE RECOVERY SERVICES LLC
6630 E HAMPDEN AVE
DENVER, CO80224-3004
Phone: 855-415-0034
Fax: 303-484-4024
Website:
Specialty Taxonomy Code
* Rehabilitation, Substance Use Disorder 261QR0405X
Multi-Specialty 261QM1300X
Substance Abuse Disorder Rehabilitation Facility 324500000X

* Indicates primary specialty

NPI Profile & details for LIGHTHOUSE RECOVERY SERVICES LLC

NPI Number 1275118333
Legal business name
LBN
LIGHTHOUSE RECOVERY SERVICES LLC
Authorized official EDWARD RUVINS - (PARTNER)
Entity Organization
Organization subpart No
Enumeration date 03/10/2021
Last updated 12/06/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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