THE LIGHTHOUSE - TRAVERSE CITY, LLC – NPI #1649359316
Residential Treatment Facility, Physical Disabilities

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

THE LIGHTHOUSE - TRAVERSE CITY, LLC is a residential treatment facility (RTF) located in KINGSLEY, MI. NPPES has assigned the NPI number 1649359316 to THE LIGHTHOUSE - TRAVERSE CITY, LLC on November 03, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 320700000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Physical Disabilities.

The NPI profile was previously updated about 13 years ago on Jan 28, 2013. 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 THE LIGHTHOUSE - TRAVERSE CITY, LLC below.

NPI Profile for
THE LIGHTHOUSE - TRAVERSE CITY, LLC

NPI Number
1649359316
Enumeration Date

(more than 19 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
THE LIGHTHOUSE - TRAVERSE CITY, LLC
Primary location
4140 BEACON ST
KINGSLEY, MI 49649
Phone: (231) 263-1350 Fax: (231) 263-1353
Mailing address
PO BOX 289
CARO, MI 48723-0289
Phone: (989) 673-2500 Fax:
Organization Subpart
No
Authorized Official
MARK WILSON
DIRECTOR OF FINANCE
Phone: (989) 673-2500
Updated
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.

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.