Provider Demographics
NPI:1588558100
Name:LGS OPERATING COMPANY
Entity type:Organization
Organization Name:LGS OPERATING COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:NICHOLE
Authorized Official - Last Name:TEETERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:541-525-3139
Mailing Address - Street 1:87750 CHARLET DR
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97402-9151
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:87750 CHARLET DR
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97402-9151
Practice Address - Country:US
Practice Address - Phone:541-525-3139
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LGS OPERATING COMPANY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-06-06
Last Update Date:2025-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness