THE LIGHTHOUSE MENTORING CENTER 1
NPI 1891361119
Community Based Residential Treatment Facility, Mental Illness in Antioch, CA

NPI Status: Active since May 27, 2021

Contact Information

1925 GARDEN CT
ANTIOCH, CA
ZIP 94509
Phone: (925) 778-4749
Fax: (925) 267-2578

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About THE LIGHTHOUSE MENTORING CENTER 1

This page provides the complete NPI Profile along with additional information for The Lighthouse Mentoring Center 1, a provider established in Antioch, California operating as a Community Based Residential Treatment Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1891361119 assigned on May 2021. The practitioner's primary taxonomy code is 320800000X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's other name is The Lighthouse Mentoring Center 1. The authorized official of this NPI record is Quimani Green Lcsw (Head Of Service)

NPI
1891361119
Provider Legal Name
THE LIGHTHOUSE MENTORING CENTER
Other Organization Name
THE LIGHTHOUSE MENTORING CENTER 1
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
1925 GARDEN CT ANTIOCH, CA 94509
Location Phone
(925) 778-4749
Location Fax
(925) 267-2578
Mailing Address
PO BOX 853 PITTSBURG, CA 94565
Mailing Phone
(925) 628-1641
Mailing Fax
(925) 267-2578
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
05-27-2021
Last Update Date
12-10-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community Based Residential Treatment Facility, Mental Illness

Taxonomy Code
320800000X
Type
Residential Treatment Facilities
Taxonomy Description
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

QUIMANI GREEN LCSW

Authorized Official Title
HEAD OF SERVICE
Authorized Official Phone
(925) 778-4749

Reviews for THE LIGHTHOUSE MENTORING CENTER 1

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1891361119
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2818166212
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 1 + 8 + 1 + 6 + 6 + 2 + 1 + 2 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1891361119 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1295582245 IMANI NARCISSI MUHYEE
Individual
Community Health Worker1925 GARDEN CT
ANTIOCH, CA 94509
(925) 778-4749
1710551122 JASON C BRADEN
Individual
Case Manager/Care Coordinator1925 GARDEN CT
ANTIOCH, CA 94509
(925) 778-4749

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1891361119, enumerated in the NPI registry as an "organization" on May 27, 2021

The provider is located at 1925 Garden Ct Antioch, Ca 94509 and the phone number is (925) 778-4749

This medical organization specializes in Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X

This NPI record was last updated on May 27, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.