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LAKE HOUSE ACADEMY
NPI 1215524756
Residential Treatment Facility, Emotionally Disturbed Children in Flat Rock, NC

Active since December 30, 2020
447 LILY PAD LN, FLAT ROCK, NC 28731(435) 229-5498 Get Directions Write a Review

NPPES record last updated: November 29, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 20, 2023, Apr 3, 2023, Jun 22, 2021 and 1 more (4 updates tracked since 2020).

About Lake House Academy NPPES

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

LAKE HOUSE ACADEMY (NPI 1215524756) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Flat Rock, North Carolina and active in the NPI registry since December 2020. The organization lists Laura J Brown, Vp Of Revenue Cycle Management, as its authorized official.

NPPES Registry Identity

NPI1215524756
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NameINNERCHANGE LAKE HOUSE, LLC
Location Address447 LILY PAD LNFlat Rock, NC 28731-9503
Mailing Address5500 Ming Ave Ste 410Bakersfield, CA 93309-4631 · (661) 622-4132
Phone(435) 229-5498
Organization SubpartNo
Authorized OfficialLaura J BrownVp Of Revenue Cycle Management · (661) 829-4060
Enumeration DateDecember 30, 2020
Last NPPES UpdateNovember 29, 20234 updates tracked since enumeration
NPPES CertifiedNovember 29, 2023
✔ NPI 1215524756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities
Taxonomy Code322D00000X
Definition
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.
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
447 LILY PAD LN, Flat Rock, NC 28731
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Other Names 1

Other NameLake House Academy

Other Providers at the Same Location NPPES 2

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

CARSON MARIELLA RAY LMFTA
Marriage & Family Therapist
447 LILY PAD LN
FLAT ROCK, NC 28731
Henderson County (855) 654-8178
BRIDGET CAMACHO LCSW
Social Worker (Clinical)
447 LILY PAD LN
FLAT ROCK, NC 28731
Henderson County (167) 831-4714

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 Innerchange Lake House, LLC's NPI number?

The NPI number for Innerchange Lake House, LLC is 1215524756. It was assigned to this organization in the NPPES registry on December 30, 2020. The provider is also known as Lake House Academy.

Where is Innerchange Lake House, LLC located?

Innerchange Lake House, LLC is located at 447 Lily Pad Ln, Flat Rock, NC 28731. The listed phone number is (435) 229-5498.

What is Innerchange Lake House, LLC's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

When was this NPI record last updated?

The NPPES record for Innerchange Lake House, LLC was last updated on November 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.