LIGHTHOUSE SUPPORTIVE LIVING LLC
NPI 1649134867
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Jersey City, NJ
About Lighthouse Supportive Living Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LIGHTHOUSE SUPPORTIVE LIVING LLC (NPI 1649134867) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Jersey City, New Jersey and active in the NPI registry since December 2025. The organization lists Naquasha L Mcmillan Johnson, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 Supportive Living LLC's NPI number?
The NPI number for Lighthouse Supportive Living LLC is 1649134867. It was assigned to this organization in the NPPES registry on December 11, 2025.
Where is Lighthouse Supportive Living LLC located?
Lighthouse Supportive Living LLC is located at 758 Ocean Ave, Jersey City, NJ 07304. The listed phone number is (201) 238-1799.
What is Lighthouse Supportive Living LLC's specialty?
The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.
When was this NPI record last updated?
The NPPES record for Lighthouse Supportive Living LLC was last updated on December 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Lighthouse Supportive Living Llc · NPI 1649134867
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities organization in Jersey City, New Jersey. Organization record, active in the CMS NPPES registry since December 11, 2025.
## Identity
- **NPI:** 1649134867 (Entity type: Organization)
- **Enumerated:** December 11, 2025
- **Primary specialty:** Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · taxonomy 320900000X
- **Organization subpart:** No
- **Authorized official:** Naquasha Mcmillan Johnson, OWNER
## Practice location
- **Address:** 758 OCEAN AVE, Jersey City, NJ 07304-2725
- **Phone:** (201) 238-1799
## Record status
- **NPPES last updated:** December 11, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1649134867) · Data from the CMS NPPES public registry.