Big Lake Country Club, LLC
NPI 1528746153 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Houston, AK
Big Lake Country Club, LLC is a Intellectual and/or Developmental Disabilities Residential Treatment Facility organization in Houston, AK (NPI 1528746153).
Provider details
- NPI number
- 1528746153
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Stephen Geddes, Manager(907) 250-6605
Specialties & taxonomies
Residential Treatment Facilities
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility320900000X
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
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
Additional practice locations (3)
- 12528 W. Hawk LaneHouston, AK 99694Phone: (907) 232-8466
- 12528 W. Hawk LaneHouston, AK 99694Phone: (907) 232-8466
- 471 S. Kenlar RoadHouston, AK 99694Phone: (907) 232-8466
Registry dates
- Enumerated
- 2023-07-05
- Last updated
- 2023-07-05
- Certified
- 2023-06-26
Frequently asked questions
- What is Big Lake Country Club, LLC's NPI number?
- Big Lake Country Club, LLC's National Provider Identifier (NPI) is 1528746153, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Big Lake Country Club, LLC?
- Big Lake Country Club, LLC is classified in the NPPES registry as Intellectual and/or Developmental Disabilities Residential Treatment Facility (Residential Treatment Facilities).
- Where is Big Lake Country Club, LLC located?
- Big Lake Country Club, LLC's practice location on file with NPPES is 12528 W. Hawk Lane, Houston, AK 99694.
- What is Big Lake Country Club, LLC's phone number?
- The practice phone number listed in the NPPES registry for Big Lake Country Club, LLC is (907) 232-8466.
- Who is the authorized official for Big Lake Country Club, LLC?
- The authorized official listed on Big Lake Country Club, LLC's NPPES record is Stephen Geddes, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Big Lake Country Club, LLC's NPI active?
- Yes — Big Lake Country Club, LLC's NPI (1528746153) is active in the NPPES registry as of the last update on 2023-07-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.