Skip to main content
OrganizationActive

Light House Group

Residential Treatment Facility, Emotionally Disturbed Children

CHARLES DAVENPORT
NPI: 1225166069Spring Lake, North Carolina, 28390(910) 497-0299

About Light House Group

Light House Group is a healthcare organization providing Residential Treatment Facility, Emotionally Disturbed Children services, registered under National Provider Identifier (NPI) number 1225166069.

The authorized official for Light House Group is CHARLES DAVENPORT. The organization is headquartered at 206 WAPITI DR, Spring Lake, North Carolina 28390. The main office can be reached at (910) 497-0299.

Light House Group has been NPI-registered since 2007.

Locations & Contact

Primary Location

Address
206 WAPITI DR
City
Spring Lake
State
North Carolina
ZIP
28390-1530
Phone
(910) 497-0299
Fax
(910) 497-0297
View on Google Maps

Authorized Official

Name
CHARLES DAVENPORT

Mailing Address

Address
408 HARRELL ST
City
SPRING LAKE
State
NC
ZIP
283903607

NPI Registration

Enumeration Date
Last Updated
Certification Date

Services & Taxonomy

Specialty & Classification

Primary Specialty
Residential Treatment Facility, Emotionally Disturbed Children
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Taxonomy Code
322D00000X

Medicare Enrollment

Medicare Enrolled
No
Can Order/Refer
No
Telehealth
No
Excluded
No

Frequently Asked Questions

What is Light House Group's NPI number?
Light House Group's National Provider Identifier (NPI) is 1225166069. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Light House Group specialize in?
Light House Group specializes in Residential Treatment Facility, Emotionally Disturbed Children.
Where is Light House Group located?
Light House Group practices at 206 WAPITI DR, Spring Lake, North Carolina 28390. You can reach them by phone at (910) 497-0299.
Does Light House Group accept Medicare?
Based on available data, Light House Group is not currently enrolled in the Medicare program.
Does Light House Group offer telehealth or virtual visits?
Light House Group does not currently offer telehealth services. In-person visits are required at their practice location.

What is a Type 2 NPI (Organization)?

A Type 2 NPI is assigned to healthcare organizations such as hospitals, group practices, clinics, and other medical entities. Unlike Type 1 NPIs issued to individual providers, a Type 2 NPI identifies the organization itself and is used for billing, claims processing, and identification in healthcare transactions. Light House Group holds NPI 1225166069, which serves as its unique identifier across all Medicare and HIPAA-covered transactions.