THE LIGHTHOUSE - TRAVERSE CITY, LLC
NPI 1649359316
Residential Treatment Facility, Physical Disabilities in Kingsley, MI

Q: What is The Lighthouse - Traverse City, LLC's NPI number?

The NPI number for The Lighthouse - Traverse City, LLC is 1649359316. It was assigned to this organization in the NPPES registry on November 3, 2006.

Q: What is The Lighthouse - Traverse City, LLC's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Physical Disabilities with taxonomy code 320700000X.

Active since November 03, 2006

4140 BEACON ST, KINGSLEY, MI 49649(231) 263-1350(231) 263-1353 Get Directions Write a Review

NPPES record last updated: January 28, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About The Lighthouse - Traverse City, Llc NPPES

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

THE LIGHTHOUSE - TRAVERSE CITY, LLC (NPI 1649359316) is a healthcare organization registered as a residential treatment facility, physical disabilities in Kingsley, Michigan and active in the NPI registry since November 2006. The organization lists Mark Wilson, Director Of Finance, as its authorized official.

NPPES Registry Identity

NPI1649359316

Entity TypeOrganization

Primary Taxonomy320700000X

Legal Business NameTHE LIGHTHOUSE - TRAVERSE CITY, LLC

Location Address4140 BEACON STKingsley, MI 49649

Mailing AddressPo Box 289Caro, MI 48723-0289 · (989) 673-2500

Phone(231) 263-1350

Fax(231) 263-1353

Organization SubpartNo

Authorized OfficialMark WilsonDirector Of Finance · (989) 673-2500

Enumeration DateNovember 3, 2006

Last NPPES UpdateJanuary 28, 2013

✔ NPI 1649359316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyResidential Treatment Facility, Physical DisabilitiesResidential Treatment Facilities

Taxonomy Code320700000X

Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.

Also ListedCustodial Care FacilityTaxonomy 311Z00000X

Also ListedResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesTaxonomy 320600000X

4140 BEACON ST, Kingsley, MI 49649

Open in Google Maps ↗

Other Providers at the Same Location NPPES

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

THE LIGHTHOUSE - TRAVERSE CITY, LLC

Clinic/Center (Rehabilitation)

4140 BEACON ST
KINGSLEY, MI 49649

Grand Traverse County (231) 263-1350

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 - Traverse City, LLC's NPI number?

The NPI number for The Lighthouse - Traverse City, LLC is 1649359316. It was assigned to this organization in the NPPES registry on November 3, 2006.

Where is The Lighthouse - Traverse City, LLC located?

The Lighthouse - Traverse City, LLC is located at 4140 Beacon St, Kingsley, MI 49649. The listed phone number is (231) 263-1350.

What is The Lighthouse - Traverse City, LLC's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Physical Disabilities with taxonomy code 320700000X.

When was this NPI record last updated?

The NPPES record for The Lighthouse - Traverse City, LLC was last updated on January 28, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.