Lighthouse, Inc.

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

Legal business name

LIGHTHOUSE, INC.

Practice address

1655 E Caro Rd
Caro, MI 48723-9319

Phone

(989) 673-2500

NPI assigned

Nov 21, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dennis Atkins

Title

Cfo

Phone

(989) 673-2500

Specialties & licenses 3

Addresses

Tax ID family

Lighthouse Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Lighthouse Neurological Rehab Center

  • Community/Behavioral Health Agency
  • Caro, MI
  • NPI 1962952481
  NPD tax ID
• Lighthouse, Inc.

  • Rehabilitation Clinic/Center
  • Caro, MI
  • NPI 1770661092
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602547200000",
    "number": "1982779203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 289",
            "address_2": "1655 E CARO RD",
            "city": "CARO",
            "state": "MI",
            "postal_code": "487230289",
            "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, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A",
        "authorized_official_last_name": "ATKINS",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "989-673-2500"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Todd T Lewicki, LMSW
• Averetta E Lewis, NP
• Life'S Joy Psychological Services LLC
• Lighthouse Neurological Rehab Center
• Lighthouse, Inc.
• Janelle Lindow, D.O.
• Colleen Anne Linehan, M.D.
• List Psychological Services, PLC
• List Psychological Services, PLC
• List Psychological Services, PLC

• Custodial Care Facility in Caro, MI
• Providers in Caro, MI by specialty
• Custodial Care Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.