Big Lake Country Club, LLC
NPI 1639497415 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Houston, AK
Big Lake Country Club, LLC is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility organization in Houston, AK (NPI 1639497415).
Provider details
- NPI number
- 1639497415
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Lynda Plettner, President / Administrator(907) 892-6944
- License
- CMG (AK)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000XLicense 940288 (AK)
Residential Treatment Facilities
Agencies
Agencies
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
- 2010-05-04
- Last updated
- 2023-07-05
- Certified
- 2023-07-05
Frequently asked questions
- What is Big Lake Country Club, LLC's NPI number?
- Big Lake Country Club, LLC's National Provider Identifier (NPI) is 1639497415, 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 Community Based 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 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) 892-6944.
- 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 Lynda Plettner, President / Administrator. 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 (1639497415) 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.