MEDICARE: THE LIGHTHOUSE AT CHICO, 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	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1689537607
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE LIGHTHOUSE AT CHICO, LLC

Provider Business Mailing Address
First Line	:	4221 WILSHIRE BLVD STE 392
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90010-3537
Country	:	US
Telephone Number	:	323-475-1800
Fax Number	:

Provider Business Practice Location Address
First Line	:	855 BRUCE RD
Second Line	:
City	:	CHICO
State	:	CA
Zip	:	95928-3901
Country	:	US
Telephone Number	:	530-566-1800
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	STEVEN ATLAS
Credential	:
Telephone Number	:	323-475-1800

Provider Enumeration Date	:	12/05/2025
Last Update Date	:	12/05/2025

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Directions to “THE LIGHTHOUSE AT CHICO, LLC ” Practice Location

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