INNERCHANGE LAKE HOUSE ACADEMY
NPI 1700234929
Student in an Organized Health Care Education/Training Program in Flat Rock, NC

Active since May 27, 2016
447 LILLY PAD LN, FLAT ROCK, NC 28731(435) 229-5498 Get Directions Write a Review

NPPES record last updated: May 27, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Innerchange Lake House Academy NPPES

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

INNERCHANGE LAKE HOUSE ACADEMY (NPI 1700234929) is a healthcare organization registered as a student in an organized health care education/training program in Flat Rock, North Carolina and active in the NPI registry since May 2016. The organization lists Heather Black, Insurance Specialist, as its authorized official.

NPPES Registry Identity

NPI1700234929
Entity TypeOrganization
Primary Taxonomy390200000X
Legal Business NameINNERCHANGE LAKE HOUSE ACADEMY
Location Address447 LILLY PAD LNFlat Rock, NC 28731-9503
Mailing Address86 N University Ave, #450Provo, UT 84601-4420 · (435) 229-5498
Organization SubpartYesParent: Innerchange
Authorized OfficialHeather BlackInsurance Specialist · (435) 229-5498
Enumeration DateMay 27, 2016
NPI 1700234929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
447 LILLY PAD LN, Flat Rock, NC 28731

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Psychiatric Residential Treatment Facility
447 LILLY PAD LN
FLAT ROCK, NC 28731

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 Academy's NPI number?

The NPI number for Innerchange Lake House Academy is 1700234929. It was assigned to this organization in the NPPES registry on May 27, 2016.

Where is Innerchange Lake House Academy located?

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

What is Innerchange Lake House Academy's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Innerchange Lake House Academy was last updated on May 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.