Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Arizona Lighthouse Assisted Living LLC

Organization Case Management Agency · NPI 1972388999

Arizona Lighthouse Assisted Living LLC is a Case Management Agency in Glendale, Arizona. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
7
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

13530 W Tuckey Ct
Glendale, AZ 85307-2067
Phone: (623) 249-1119
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) Taxonomy 320900000X
Case Management Agency Taxonomy 251B00000X
Home Health Agency Taxonomy 251E00000X
Community Based Hospice Care Agency Taxonomy 251G00000X
Community/Behavioral Health Agency Taxonomy 251S00000X
Assisted Living Facility (Mental Illness) Taxonomy 3104A0625X
Assisted Living Facility (Behavioral Disturbances) Taxonomy 3104A0630X

Record details

NPI number1972388999
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bennie Hargrove — Ceo · (623) 249-1119
NPI enumeratedAugust 28, 2023
Last updated in NPPESAugust 28, 2023
Certification dateAugust 28, 2023
Mailing address13530 W Tuckey Ct, Glendale, AZ 85307-2067

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