Active NPI
Lighthouse Neurological Rehab Center
- Community/Behavioral Health Agency
- Caro, MI
National Provider Identifier
1962952481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 6801098100
- Legal business name
- LIGHTHOUSE NEUROLOGICAL REHAB CENTER
- Practice address
- 1655 E Caro Rd
Caro, MI 48723-9319 - Phone
- (989) 673-2500
- NPI assigned
- Oct 7, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Carley Jean Walker, MSW, LLMSW
- Title
- Social Worker
- Phone
- (989) 673-2500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 6801098100 | MI | Primary |
Addresses
Primary practice location
1655 E Caro Rd
Caro, MI 48723-9319
Mailing address
1655 E Caro Rd
Caro, MI 48723-9319
Phone (989) 673-2500
National Provider Directory
National Provider Directory- Tax ID family
- Lighthouse Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Rehabilitation Clinic/Center
- Caro, MI
- NPI 1770661092
-
- Custodial Care Facility
- Caro, MI
- NPI 1982779203
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475798400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1475798400000",
"number": "1962952481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1655 E CARO RD",
"city": "CARO",
"state": "MI",
"postal_code": "487239319",
"telephone_number": "989-673-2500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1655 E CARO RD",
"city": "CARO",
"state": "MI",
"postal_code": "487239319",
"telephone_number": "989-673-2500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIGHTHOUSE NEUROLOGICAL REHAB CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2016-10-07",
"last_updated": "2016-10-07",
"status": "A",
"authorized_official_last_name": "WALKER",
"authorized_official_first_name": "CARLEY",
"authorized_official_middle_name": "JEAN",
"authorized_official_title_or_position": "SOCIAL WORKER",
"authorized_official_telephone_number": "989-673-2500",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MSW, LLMSW"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "MI",
"license": "6801098100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Caro, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.