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Contact Information

LIGHTHOUSE RECOVERY SERVICES LLC
5370 CARR ST
ARVADA, CO80002-3525
 Phone: 855-415-0034
 Fax: 303-484-4024
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Substance Abuse Disorder Rehabilitation Facility

324500000X
 

Multi-Specialty

261QM1300X 70 Clinic or Group Practice
 

Rehabilitation, Substance Use Disorder

261QR0405X
Indicates primary specialty

NPI Profile & details for LIGHTHOUSE RECOVERY SERVICES LLC

NPI # 1245998327
LBN Legal business name LIGHTHOUSE RECOVERY SERVICES LLC
Authorized official EDWARD RUVINS - (PROGRAM DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 12/06/2021
Last updated 12/06/2022 - About 4 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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