MEDICARE: THE LIGHTHOUSE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency	NV20131588522	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1225466709
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE LIGHTHOUSE LLC

Provider Business Mailing Address
First Line	:	5710 E TROPICANA AVE #2212
Second Line	:
City	:	LAS VEGAS
State	:	NEVADA
Zip	:	89122
Country	:	UM
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5710 E TROPICANA AVE #2212
Second Line	:
City	:	LAS VEGAS
State	:	NEVADA
Zip	:	89122
Country	:	UM
Telephone Number	:	702-884-4049
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SOLANGE BEEVERS
Credential	:
Telephone Number	:	702-884-4049

Provider Enumeration Date	:	10/22/2013
Last Update Date	:	10/22/2013

Similar Medicare Providers

1568312981 — A & A PERSONAL CARE ASSISTANCE LLC
Practice Location Address:

5910 DODD ST
LAS VEGAS, NV
89122-7421

Practice Phone: 702-812-8960
Practice Fax:

1376514646 — MARK ZIMMERMAN M.D.
Practice Location Address:

5967 SUN APPELLO AVE
LAS VEGAS, NV
89122-3447

Practice Phone: 702-489-5120
Practice Fax: 702-489-5120

1740256189 — MISS PAMELA LOIS BELLOW FNP
Practice Location Address:

6360 BOULDER HWY
LAS VEGAS, NV
89122-7301

Practice Phone: 725-228-4520
Practice Fax: 877-889-5390

1083682504 — LISA M LYONS M.D.
Practice Location Address:

5230 BOULDER HWY STE 110
LAS VEGAS, NV
89122-6077

Practice Phone: 802-940-1560
Practice Fax: 702-940-1561

1255387809 — ALBERTSONS LLC
Practice Location Address:

5500 BOULDER HWY
LAS VEGAS, NV
89122-6010

Practice Phone: 702-435-7339
Practice Fax: 702-352-1082

1295781359 — DR. CHARLES A WILSON D.O.
Practice Location Address:

6360 BOULDER HWY
LAS VEGAS, NV
89122-7301

Practice Phone: 725-228-4520
Practice Fax: 877-889-5390

1831130707 — NEVADA CVS PHARMACY LLC
Practice Location Address:

5681 BOULDER HWY
LAS VEGAS, NV
89122-7201

Practice Phone: 702-434-4933
Practice Fax:

Directions to “THE LIGHTHOUSE LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.