# LIGHTHOUSE HEALTHCARE CENTER, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Lighthouse Healthcare Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144490053
- **Authorized official:** MR. LIAB GREENSPOON (OWNER)
- **Authorized official phone:** (323) 569-9565

## Contact information

- **Practice address:** 2222 SANTA ANA BLVD S, LOS ANGELES, CA 90059-1350
- **Practice address phone:** (323) 564-4461
- **Practice address fax:** (323) 569-9565
- **Mailing address:** 2222 SANTA ANA BLVD S, LOS ANGELES, CA 90059-1350
- **Mailing address phone:** (323) 564-4461
- **Mailing address fax:** (323) 569-9565

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 940000071 | CA | Yes |

## Other

- **Enumeration date:** 03/06/2008
- **Last updated:** 10/19/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | ZZT18416H | — | CA |