THE LIGHTHOUSE OF SOUTHERN MN
NPI 1164264727
Lodging in Meriden, MN
About The Lighthouse Of Southern Mn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THE LIGHTHOUSE OF SOUTHERN MN (NPI 1164264727) is a healthcare organization registered as a lodging in Meriden, Minnesota and active in the NPI registry since June 2024. The organization maintains a secondary practice location in Owatonna and lists Amanda Starks, Executive Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
The Lighthouse Of Southern Mn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to The Lighthouse Of Southern Mn, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 The Lighthouse Of Southern Mn's NPI number?
The NPI number for The Lighthouse Of Southern Mn is 1164264727. It was assigned to this organization in the NPPES registry on June 12, 2024.
Where is The Lighthouse Of Southern Mn located?
The Lighthouse Of Southern Mn is located at 2797 SW 92nd Ave, Meriden, MN 56093. The listed phone number is (507) 475-9548.
What is The Lighthouse Of Southern Mn's specialty?
The primary specialty registered for this NPI is Lodging with taxonomy code 177F00000X.
Is The Lighthouse Of Southern Mn enrolled in Medicare?
Yes. The Lighthouse Of Southern Mn is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through The Lighthouse Of Southern Mn?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to The Lighthouse Of Southern Mn. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for The Lighthouse Of Southern Mn was last updated on January 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.
# The Lighthouse Of Southern Mn · NPI 1164264727
Lodging organization in Meriden, Minnesota. Organization record, active in the CMS NPPES registry since June 12, 2024.
## Identity
- **NPI:** 1164264727 (Entity type: Organization)
- **Enumerated:** June 12, 2024
- **Primary specialty:** Lodging · taxonomy 177F00000X
- **Organization subpart:** No
- **Authorized official:** Amanda Starks, EXECUTIVE DIRECTOR
## Practice location
- **Address:** 2797 SW 92ND AVE, Meriden, MN 56093-6211
- **Phone:** (507) 475-9548
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Social Worker) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 7, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1164264727) · Data from the CMS NPPES public registry.