BIG LAKE COUNTRY CLUB, LLC – NPI #1669150207
Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

Health Care Provider Taxonomy Code for Residential Treatment Facility, Intellectual and/or Developmental Disabilities

BIG LAKE COUNTRY CLUB, LLC is a residential treatment facility located in HOUSTON, AK. NPPES has assigned the NPI number 1669150207 to BIG LAKE COUNTRY CLUB, LLC on July 05, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320600000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BIG LAKE COUNTRY CLUB, LLC below.

NPI Profile for
BIG LAKE COUNTRY CLUB, LLC

NPI Number
1669150207
Enumeration Date

(about 3 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BIG LAKE COUNTRY CLUB, LLC
Primary location
471 S. KENLAR ROAD
HOUSTON, AK 99694
Phone: (907) 232-8466 Fax:
Mailing address
PO BOX 520069
BIG LAKE, AK 99652-0069
Phone: (907) 232-8466 Fax:
Organization Subpart
Yes - BIG LAKE COUNTRY CLUB, LLC is subpart of another organization.
Authorized Official
STEPHEN GEDDES
MANAGER
Phone: (907) 250-6605
Updated
Certification Date
Jun 26, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320600000X
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.