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LIGHTHOUSE INDEPENDENT LIVING
NPI 1053548099
Day Training, Developmentally Disabled Services in Johnson City, TN

Active since June 17, 2009
2882 BOONES CREEK RD, JOHNSON CITY, TN 37615(423) 282-5555(423) 282-6106 Get Directions Write a Review

NPPES record last updated: June 17, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lighthouse Independent Living NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIGHTHOUSE INDEPENDENT LIVING (NPI 1053548099) is a healthcare organization registered as a day training, developmentally disabled services in Johnson City, Tennessee and active in the NPI registry since June 2009. The organization lists Lisa Renee Banner, Director, as its authorized official.

NPPES Registry Identity

NPI1053548099
Entity TypeOrganization
Primary Taxonomy251C00000X
Legal Business NameLIGHTHOUSE INDEPENDENT LIVING
Location Address2882 BOONES CREEK RDJohnson City, TN 37615-4655
Mailing Address2882 Boones Creek RdJohnson City, TN 37615-4655 · (423) 282-5555 · Fax (423) 282-6106
Phone(423) 282-5555
Fax(423) 282-6106
Organization SubpartNo
Authorized OfficialLisa Renee BannerDirector · (423) 282-5555
Enumeration DateJune 17, 2009
✔ NPI 1053548099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDay Training, Developmentally Disabled ServicesAgencies
Taxonomy Code251C00000X
License✔ Licensed in TN · L000000004479
Definition
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.
2882 BOONES CREEK RD, Johnson City, TN 37615
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ENHANCED SUPPORT SERVICES
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
2882 BOONES CREEK RD
JOHNSON CITY, TN 37615
Washington County (423) 631-0336

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lighthouse Independent Living's NPI number?

The NPI number for Lighthouse Independent Living is 1053548099. It was assigned to this organization in the NPPES registry on June 17, 2009.

Where is Lighthouse Independent Living located?

Lighthouse Independent Living is located at 2882 Boones Creek Rd, Johnson City, TN 37615. The listed phone number is (423) 282-5555.

What is Lighthouse Independent Living's specialty?

The primary specialty registered for this NPI is Day Training, Developmentally Disabled Services with taxonomy code 251C00000X.

When was this NPI record last updated?

The NPPES record for Lighthouse Independent Living was last updated on June 17, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.