Lighthouse Therapy Services, Llc

LBN: Lighthouse Therapy Services, Llc
Lighthouse Therapy Services, Llc is an health care organization with primary practice located at 314 Niagara Ave , Sheboygan WI 53081-4128. The organization recently has 2 registered licenses in different health care specialties including Managed Care Organizations / Health Maintenance Organization, Managed Care Organizations / Point of Service. Managed Care Organizations / Health Maintenance Organization is the primary health care specialty. Lighthouse Therapy Services, Llc can be contacted via phone (920) 451-8667, or through Huber, Daniel via phone (920) 451-8667.

Contact Information

Primary practice address
314 Niagara Ave Sheboygan WI 53081-4128
Fax: (920) 451-8799
Website:
Authorized official contact:
Name: Huber, Daniel PH.D.

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Health Maintenance Organization 302R00000X Wisconsin
Managed Care Organizations / Point of Service 305S00000X Wisconsin

Profile Details

NPI number 1477530228
LBN Legal business name Lighthouse Therapy Services, Llc
DBA Doing business as
Authorized official Huber, Daniel PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Dec 22nd, 2005
Last updated Jul 21st, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477530228 NPPES
Wisconsin MEDICAID 42194400

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