LIGHTHOUSE ICF/DDN
NPI 1265862973
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Yorba Linda, CA

Active since November 15, 2013CLIA 05D1084092 · Waiver
17001 SAGA DR, YORBA LINDA, CA 92886(714) 223-1220 Get Directions Write a Review

NPPES record last updated: November 15, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lighthouse Icf/ddn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIGHTHOUSE ICF/DDN (NPI 1265862973) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Yorba Linda, California and active in the NPI registry since November 2013. The organization holds a CLIA Waiver certificate valid through May 1, 2028 and lists Renee Brown, Owner/administrator, as its authorized official.

NPPES Registry Identity

NPI1265862973
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameLIGHTHOUSE ICF/DDN
Location Address17001 SAGA DRYorba Linda, CA 92886-3627
Mailing Address5025 Marshburn CirYorba Linda, CA 92886-3926 · (714) 335-9305
Organization SubpartNo
Authorized OfficialRenee BrownOwner/administrator · (714) 335-9305
Enumeration DateNovember 15, 2013
NPI 1265862973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

17001 SAGA DR, Yorba Linda, CA 92886

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D1084092

Lighthouse Labs · Yorba Linda, CA
Active · expires May 1, 2028
CLIA Number05D1084092
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateMay 2, 2026
Certificate Expiration DateMay 1, 2028
Laboratory DirectorPraful A. Sarode MD
Laboratory Phone(714) 223-1220
Laboratory LocationLighthouse Labs17001 Saga Dr, Yorba Linda, CA 92886
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lighthouse Icf/Ddn's NPI number?

The NPI number for Lighthouse Icf/Ddn is 1265862973. It was assigned to this organization in the NPPES registry on November 15, 2013.

Where is Lighthouse Icf/Ddn located?

Lighthouse Icf/Ddn is located at 17001 Saga Dr, Yorba Linda, CA 92886. The listed phone number is (714) 223-1220.

What is Lighthouse Icf/Ddn's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

Does Lighthouse Icf/Ddn hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1084092) is associated with this NPI, valid through May 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lighthouse Icf/Ddn was last updated on November 15, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.