OrganizationActive
Lighthouse of Revere, Inc.
NPI 1699772376 · Skilled Nursing Facility · Revere, MA
Lighthouse of Revere, Inc. is a Skilled Nursing Facility organization in Revere, MA (NPI 1699772376).
Provider details
- NPI number
- 1699772376
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Roger Marks, Administrator(781) 286-3100
- License
- 0880 (MA)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
204 Proctor Ave
Revere, MA 02151-4923
Phone: (781) 286-3100
Fax: (781) 286-4109
Street-level locationGet directions
Mailing address
204 Proctor Ave
Revere, MA 02151-4923
Other names (DBA / former)
- Doing business as
- Lighthouse Nursing Care Center
Registry dates
- Enumerated
- 2005-07-07
- Last updated
- 2008-07-24
Frequently asked questions
- What is Lighthouse of Revere, Inc.'s NPI number?
- Lighthouse of Revere, Inc.'s National Provider Identifier (NPI) is 1699772376, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lighthouse of Revere, Inc.?
- Lighthouse of Revere, Inc. is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Lighthouse of Revere, Inc. located?
- Lighthouse of Revere, Inc.'s practice location on file with NPPES is 204 Proctor Ave, Revere, MA 02151-4923.
- What is Lighthouse of Revere, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Lighthouse of Revere, Inc. is (781) 286-3100.
- Who is the authorized official for Lighthouse of Revere, Inc.?
- The authorized official listed on Lighthouse of Revere, Inc.'s NPPES record is Roger Marks, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lighthouse of Revere, Inc.'s NPI active?
- Yes — Lighthouse of Revere, Inc.'s NPI (1699772376) is active in the NPPES registry as of the last update on 2008-07-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.