The Lighthouse - Traverse City, LLC
NPI 1649359316 · Physical Disabilities Residential Treatment Facility · Kingsley, MI
The Lighthouse - Traverse City, LLC is a Physical Disabilities Residential Treatment Facility organization in Kingsley, MI (NPI 1649359316).
Provider details
- NPI number
- 1649359316
- Entity type
- Organization
- Primary specialty
- Physical Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Mark Wilson, Director of Finance(989) 673-2500
Specialties & taxonomies
Residential Treatment Facilities
- Custodial Care Facility311Z00000X
Nursing & Custodial Care 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
- 2006-11-03
- Last updated
- 2013-01-28
Frequently asked questions
- What is The Lighthouse - Traverse City, LLC's NPI number?
- The Lighthouse - Traverse City, LLC's National Provider Identifier (NPI) is 1649359316, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is The Lighthouse - Traverse City, LLC?
- The Lighthouse - Traverse City, LLC is classified in the NPPES registry as Physical Disabilities Residential Treatment Facility (Residential Treatment Facilities).
- Where is The Lighthouse - Traverse City, LLC located?
- The Lighthouse - Traverse City, LLC's practice location on file with NPPES is 4140 Beacon St, Kingsley, MI 49649.
- What is The Lighthouse - Traverse City, LLC's phone number?
- The practice phone number listed in the NPPES registry for The Lighthouse - Traverse City, LLC is (231) 263-1350.
- Who is the authorized official for The Lighthouse - Traverse City, LLC?
- The authorized official listed on The Lighthouse - Traverse City, LLC's NPPES record is Mark Wilson, Director of Finance. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is The Lighthouse - Traverse City, LLC's NPI active?
- Yes — The Lighthouse - Traverse City, LLC's NPI (1649359316) is active in the NPPES registry as of the last update on 2013-01-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.