LIGHTHOUSE FOR YOUTH – NPI #1457484875
Residential Treatment Facility, Emotionally Disturbed Children

A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

LIGHTHOUSE FOR YOUTH is a residential treatment facility located in WAKEFIELD, RI. NPPES has assigned the NPI number 1457484875 to LIGHTHOUSE FOR YOUTH on March 14, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 322D00000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Emotionally Disturbed Children.

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. 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 LIGHTHOUSE FOR YOUTH below.

NPI Profile for
LIGHTHOUSE FOR YOUTH

NPI Number
1457484875
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
LIGHTHOUSE FOR YOUTH
Primary location
81 SPENCER CT
WAKEFIELD, RI 02879-2820
Phone: (401) 782-8940 Fax: (401) 782-1145
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
KATHERINE O'KULA
EXECUTIVE DIRECTOR
Phone: (401) 782-8940
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.

Taxonomy Classification / Specialization State License
322D00000X
- Residential Treatment Facility, Emotionally Disturbed Children (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.