THE LIGHTHOUSE - TRAVERSE CITY, LLC
NPI 1740369446
Clinic/Center - Rehabilitation in Kingsley, MI

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: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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 1740369446) is a healthcare organization registered as a rehabilitation 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

NPI1740369446
Entity TypeOrganization
Primary Taxonomy261QR0400X
Legal Business NameTHE LIGHTHOUSE - TRAVERSE CITY, LLC
Location Address4140 BEACON STKingsley, MI 49649
Mailing AddressPo Box 289, 1655 E Caro RdCaro, MI 48723-0289 · (989) 673-2500 · Fax (989) 673-3356
Fax(231) 263-1353
Organization SubpartNo
Authorized OfficialMark WilsonDirector Of Finance · (989) 673-2500
Enumeration DateNovember 3, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1740369446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · RehabilitationAmbulatory Health Care Facilities
Taxonomy Code261QR0400X
4140 BEACON ST, Kingsley, MI 49649

Other Providers at the Same Location NPPES

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

Residential Treatment Facility, Physical Disabilities
4140 BEACON ST
KINGSLEY, MI 49649

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 1740369446. 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 Clinic/Center, specializing in Rehabilitation, with taxonomy code 261QR0400X.

When was this NPI record last updated?

The NPPES record for The Lighthouse - Traverse City, LLC was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.