Light House Group
NPI 1225166069 · Emotionally Disturbed Childrens' Residential Treatment Facility · Spring Lake, NC
Light House Group is a Emotionally Disturbed Childrens' Residential Treatment Facility organization in Spring Lake, NC (NPI 1225166069).
Provider details
- NPI number
- 1225166069
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Charles Davenport, President(910) 497-0299
- License
- MHL -026-805 (NC)
Specialties & taxonomies
- Emotionally Disturbed Childrens' Residential Treatment FacilityPrimary322D00000XLicense MHL-026-627 (NC)
Residential Treatment Facilities
Residential Treatment Facilities
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-03-02
- Last updated
- 2020-08-22
Frequently asked questions
- What is Light House Group's NPI number?
- Light House Group's National Provider Identifier (NPI) is 1225166069, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Light House Group?
- Light House Group is classified in the NPPES registry as Emotionally Disturbed Childrens' Residential Treatment Facility (Residential Treatment Facilities).
- Where is Light House Group located?
- Light House Group's practice location on file with NPPES is 206 Wapiti Dr, Spring Lake, NC 28390-1530.
- What is Light House Group's phone number?
- The practice phone number listed in the NPPES registry for Light House Group is (910) 497-0299.
- Who is the authorized official for Light House Group?
- The authorized official listed on Light House Group's NPPES record is Charles Davenport, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Light House Group's NPI active?
- Yes — Light House Group's NPI (1225166069) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.