Provider Demographics
NPI:1134781057
Name:LIGHTHOUSE COMPLEX CARE LTD
Entity type:Organization
Organization Name:LIGHTHOUSE COMPLEX CARE LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KARA
Authorized Official - Middle Name:
Authorized Official - Last Name:DARLING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-219-0030
Mailing Address - Street 1:250 FILLMORE ST UNIT 150
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80206-5001
Mailing Address - Country:US
Mailing Address - Phone:303-219-0030
Mailing Address - Fax:303-600-7340
Practice Address - Street 1:250 FILLMORE ST UNIT 150
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80206-5001
Practice Address - Country:US
Practice Address - Phone:303-219-0030
Practice Address - Fax:303-600-7340
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-01
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty