LIGHTHOUSE, INC. (NPI# 1770661092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770661092 |
| Entity Type | Organization |
| Organization Name | LIGHTHOUSE, INC. |
| Practice Address |
1655 E Caro Rd Caro MI 48723-9319 |
| Mailing Address |
Po Box 289 1655 E Caro Rd Caro MI 48723-0289 |
| Practice Telephone | 9896732500 |
| Practice Fax Number | 9896733356 |
| Mailing Telephone | 9896732500 |
| Mailing Fax Number | 9896733356 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2020-10-13 |
| Authorized Official Name | DENNIS ATKINS (CFO) |
| Authorized Official Telephone | 9896732500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS PROVIDER NUMBE | 30744 | 01 |
| MI | HEALTH PLUS | 0990686 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790112746 | Lighthouse, Inc. | Counselor | 60 Mellor Ave, Baltimore, MD 21228-5104 | 2013-10-07 |
| 1609988492 | Lighthouse, Inc. | Ambulance | 510 Beach 20th St, Far Rockaway, NY 11691-3622 | 2006-08-31 |
| 1982779203 | Lighthouse, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1655 E Caro Rd, Caro, MI 48723-9319 | 2006-11-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | LIGHTHOUSE, INC. | 45 John Street, Suite 711, New York, Ny 10038 |
| Street Address |
1655 E CARO RD |
| City | CARO |
| State | MI |
| Zip Code | 48723-9319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699318873 | Connie L Hart | Social Worker | 1655 E Caro Rd, Caro, MI 48723-9319 | 2019-10-21 |
| 1629626064 | Allison Paige Sadro | Speech-Language Pathologist | 1655 E Caro Rd, Caro, MI 48723-9319 | 2019-08-29 |
| 1457903478 | Taylor Rae Swinson | Occupational Therapist | 1655 E Caro Rd, Caro, MI 48723-9319 | 2019-07-10 |
| 1407378664 | Leandra May Jahr | Social Worker | 1655 E Caro Rd, Caro, MI 48723-9319 | 2017-07-10 |
| 1962940775 | Ashley Fader | Speech-Language Pathologist | 1655 E Caro Rd, Caro, MI 48723-9319 | 2017-02-01 |
| 1609314418 | Rachel Elizabeth Burgess | Speech-Language Pathologist | 1655 E Caro Rd, Caro, MI 48723-9319 | 2017-02-01 |
| 1861937823 | Ann Retka | Physical Therapist | 1655 E Caro Rd, Caro, MI 48723-9319 | 2016-12-30 |
| 1255875050 | Phyllis Scott | Occupational Therapist | 1655 E Caro Rd, Caro, MI 48723-9319 | 2016-12-13 |
| 1528502325 | Ashley Leonard | Occupational Therapist | 1655 E Caro Rd, Caro, MI 48723-9319 | 2016-12-13 |
| 1558805747 | Zachary Elliott | Occupational Therapist | 1655 E Caro Rd, Caro, MI 48723-9319 | 2016-12-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437715232 | Comprehensive Pain Specialists, Pllc | Pain Medicine | 705 E Frank St, Caro, MI 48723 | 2019-05-16 |
| 1417411216 | Caro Dental Associates Pllc | Dentist | 147 W Lincoln Street, Caro, MI 48723 | 2019-01-25 |
| 1346766870 | Jean Ann Jackson | Dietitian, Registered | 401 North Hooper Street, Caro, MI 48723 | 2017-08-16 |
| 1043615800 | Kaitlyn Tobin | Psychologist | 443 N State St., Caro, MI 48723 | 2014-10-22 |
| 1841639671 | Joseph Aubrey Harper | Social Worker | 852 S. Hooper Street, New Light Child and Family Institut, Caro, MI 48723 | 2013-06-14 |
| 1629208343 | Bertha M Dennis | Massage Therapist | Community Therapy 519 Pearl Street, Caro, MI 48723 | 2009-07-15 |
| 1073716734 | Alia El Mousa | Pediatrics | 1525 Caro Rd, Caro, MI 48723 | 2007-06-08 |
| 1083656599 | Arshad Aqil | Internal Medicine | 1070 East Caro Road, Caro, MI 48723 | 2006-06-11 |
| 1447205307 | Mid Michigan Medicine PC | Internal Medicine | 1070 E Caro Rd, Caro, MI 48723 | 2006-05-22 |
| 1043268030 | Carol L Starling | Optometrist | 170 N State St, Caro, MI 48723 | 2006-05-04 |
| Find all providers in zip 48723 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
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| 1013566199 | J.l Hunt Therapeutics | Clinic/Center | 43700 Woodward Ave Ste 108, Bloomfield Hills, MI 48302-5060 | 2019-09-10 |
| 1548828502 | Chsc Inc | Clinic/Center | 10125 W 8 Mile Rd, Detroit, MI 48221-1004 | 2019-06-04 |
| 1427521723 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 3951 W Milham Ave, Portage, MI 49024-1088 | 2019-01-09 |
| 1366934184 | Rehabcare Group East, LLC | Clinic/Center | 1300 N Telegraph Rd, Dearborn, MI 48128-1204 | 2018-06-06 |
| 1902305048 | Nrmi, LLC | Clinic/Center | 14461 E 11 Mile Rd, Warren, MI 48088-4886 | 2018-02-05 |
| 1194230888 | Blue Water Speech Therapy | Clinic/Center | 7950 Caberfae Trl, Clarkston, MI 48348-3707 | 2017-12-05 |
| 1093236291 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 1620 S Mission St Ste O, Mt Pleasant, MI 48858-4466 | 2017-06-28 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.