LAKE HOUSE ACADEMY
NPI 1215524756
Residential Treatment Facility, Emotionally Disturbed Children in Flat Rock, NC
- Organization
- Residential Treatment Facility, Emotiona...
About LAKE HOUSE ACADEMY
This page provides the complete NPI Profile along with additional information for Lake House Academy, a provider established in Flat Rock, North Carolina operating as a Residential Treatment Facility, Emotionally Disturbed Children. The healthcare provider is registered in the NPI registry with number 1215524756 assigned on December 2020. The practitioner's primary taxonomy code is 322D00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's other name is Lake House Academy. The authorized official of this NPI record is Mrs. Laura J Brown (Vp Of Revenue Cycle Management)
- NPI
- 1215524756 Verify this NPI
- Provider Legal Name
- INNERCHANGE LAKE HOUSE, LLC
- Other Organization Name
- LAKE HOUSE ACADEMY
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 447 LILY PAD LN FLAT ROCK, NC 28731
- Location Phone
- (435) 229-5498
- Mailing Address
- 5500 MING AVE STE 410 BAKERSFIELD, CA 93309
- Mailing Phone
- (661) 622-4132
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-30-2020
- Last Update Date
- 11-29-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Residential Treatment Facility, Emotionally Disturbed Children
- Taxonomy Code
- 322D00000X
- Type
- Residential Treatment Facilities
- Taxonomy Description
- A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 251S00000X | Agencies | Community/Behavioral Health |
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Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1215524756, enumerated as an "organization" on December 30, 2020.
The provider is located at 447 LILY PAD LN FLAT ROCK, NC 28731 and the phone number is (435) 229-5498.
Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.
