OrganizationActive
Big Lake Country Club, LLC
NPI 1639497415 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Houston, AK
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
Detailed profile(83/100 index)
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
12528 Hawk Lane
Houston, AK 99694
Phone: (907) 892-6944
Street-level locationGet directions
Mailing address
Po Box 299136
Wasilla, AK 99629
Registry dates
- Enumerated
- 2010-05-04
- Last updated
- 2023-07-05
- Certified
- 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.