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

Active since May 27, 2021
1925 GARDEN CT, ANTIOCH, CA 94509(925) 778-4749(925) 267-2578 Get Directions Write a Review

NPPES record last updated: December 10, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 10, 2024, May 26, 2022, Jun 1, 2021 and 1 more (4 updates tracked since 2021).

About The Lighthouse Mentoring Center 1 NPPES

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

THE LIGHTHOUSE MENTORING CENTER 1 (NPI 1891361119) is a healthcare organization registered as a community based residential treatment facility, mental illness in Antioch, California and active in the NPI registry since May 2021. The organization lists Quimani Green, Head Of Service, as its authorized official.

NPPES Registry Identity

NPI1891361119
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameTHE LIGHTHOUSE MENTORING CENTER
Location Address1925 GARDEN CTAntioch, CA 94509-2865
Mailing AddressPo Box 853Pittsburg, CA 94565-0085 · (925) 628-1641 · Fax (925) 267-2578
Phone(925) 778-4749
Fax(925) 267-2578
Organization SubpartYesParent: The Lighthouse Mentoring Center 1
Authorized OfficialQuimani GreenHead Of Service · (925) 778-4749
Enumeration DateMay 27, 2021
Last NPPES UpdateDecember 10, 20244 updates tracked since enumeration
NPPES CertifiedDecember 10, 2024
✔ NPI 1891361119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
1925 GARDEN CT, Antioch, CA 94509
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Other Names 1

Other NameThe Lighthouse Mentoring Center 1

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ERIN MARIE WHITE
Day Training/Habilitation Specialist
1925 GARDEN CT
ANTIOCH, CA 94509
Contra Costa County (925) 706-7270
KASANDRA ISABEL JIMENEZ
Day Training/Habilitation Specialist
1925 GARDEN CT
ANTIOCH, CA 94509
Contra Costa County (925) 470-3176
MR. MUIDEEN BABATUNDE OLAWOYIN
Rehabilitation Practitioner
1925 GARDEN CT
ANTIOCH, CA 94509
Contra Costa County (279) 241-4714
IMANI NARCISSI MUHYEE
Day Training/Habilitation Specialist
1925 GARDEN CT
ANTIOCH, CA 94509
Contra Costa County (925) 778-4749
KIMBERLY B COX
Rehabilitation Practitioner
1925 GARDEN CT
ANTIOCH, CA 94509
Contra Costa County (925) 778-4749
MRS. XOCHIL CHRISTINA PEREZ
Day Training/Habilitation Specialist
1925 GARDEN CT
ANTIOCH, CA 94509
Contra Costa County (925) 778-4749
JULIENNE FERNANDEZ
Day Training/Habilitation Specialist
1925 GARDEN CT
ANTIOCH, CA 94509
Contra Costa County (925) 778-4749

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 The Lighthouse Mentoring Center's NPI number?

The NPI number for The Lighthouse Mentoring Center is 1891361119. It was assigned to this organization in the NPPES registry on May 27, 2021. The provider is also known as The Lighthouse Mentoring Center 1.

Where is The Lighthouse Mentoring Center located?

The Lighthouse Mentoring Center is located at 1925 Garden Ct, Antioch, CA 94509. The listed phone number is (925) 778-4749.

What is The Lighthouse Mentoring Center's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for The Lighthouse Mentoring Center was last updated on December 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.