NORTHERN LIGHTHOUSE DBA NORTHERN LIGHTHOUSE DAY CENTER (NPI# 1659601409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659601409 |
| Entity Type | Organization |
| Organization Name | NORTHERN LIGHTHOUSE DBA NORTHERN LIGHTHOUSE DAY CENTER |
| Practice Address |
136 E Redoubt Ave Soldotna AK 99669-8012 |
| Mailing Address |
Po Box 609 Soldotna AK 99669-0609 |
| Practice Telephone | 9073982939 |
| Enumeration Date | 2009-12-29 |
| Last Update Date | 2009-12-29 |
| Authorized Official Name | MARY JO METTLER (PROGRAM ADMINISTRATOR) |
| Authorized Official Telephone | 9073982939 |
| Is Organization Subpart | Y |
| Parent Organization Name | NORTHERN LIGHTHOUSE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 385H00000X | Respite Care | NONE ISSED BY ST | AK | Respite Care Facility |
| Street Address |
136 E REDOUBT AVE |
| City | SOLDOTNA |
| State | AK |
| Zip Code | 99669-8012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881201226 | Kyle Arron Shassetz | Counselor | 43335 K-beach Rd., Soldotna, AK 99669 | 2020-09-29 |
| 1720614993 | Peninsula Instacare | Clinic/Center | 34581 Kenai Spur Hwy, Suite 1, Soldotna, AK 99669 | 2020-03-19 |
| 1871141077 | Alaine Viola Lagasse | Counselor | Kenai Vet Center, 43299 Kalifornsky Beach Road Ste 4, Soldotna, AK 99669 | 2019-08-30 |
| 1962970574 | Ryder R Storm | Behavior Technician | 338800 Community College Drive, Suite 1, Soldotna, AK 99669 | 2018-11-13 |
| 1356821540 | Tanecia Webster | Nurse Practitioner | 36570 Kenai Spur Hwy, Ste 103a, Soldotna, AK 99669 | 2018-08-16 |
| 1821519869 | Theresa Napolitano | Case Manager/Care Coordinator | 35477 Kenai Spur Hwy Suite 203, Soldotna, AK 99669 | 2017-06-29 |
| 1689048282 | Jeanne Bignell | Licensed Practical Nurse | 35020 Alaskan View Lane, Soldotna, AK 99669 | 2015-11-19 |
| 1952786105 | Ian Charles Mcmullen | Pharmacist | 44001 Sterling Highway, Soldotna, AK 99669 | 2015-07-29 |
| 1841679933 | Lana Clymer | Case Manager/Care Coordinator | 22994 Kalifornsky Beach Rd, Soldotna, AK 99669 | 2015-05-22 |
| 1861800773 | Phillip Bruce | Physical Therapy Assistant | 35105 Kenai Spury Hwy, Suite A, Soldotna, AK 99669 | 2014-07-24 |
| Find all providers in zip 99669 | ||||
| Taxonomy Code | 385H00000X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407073463 | Stone Brook Inn Inc | Respite Care | 48420 Moose Run Rd, Soldotna, AK 99669 | 2007-04-19 |
| 1164656641 | Stone Brook Inn Inc | Respite Care | 42340 Donna Circle, Soldotna, AK 99669 | 2009-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225668718 | Turnagain Assisted Living LLC. | Respite Care | 3406 Seppala Dr Unit B, Anchorage, AK 99517-1143 | 2020-01-23 |
| 1518500297 | Lamin St Jammeh | Respite Care | 7924 Parkway Dr, Anchorage, AK 99504-2840 | 2019-10-24 |
| 1548744469 | Independence Lodge, LLC | Respite Care | 6941 Stanley Dr, Anchorage, AK 99518-2163 | 2018-09-17 |
| 1255769899 | A Loving Care PCa | Respite Care | 343 W Benson Blvd Ste 4, Anchorage, AK 99503-3950 | 2013-10-17 |
| 1619244548 | A Kodiak Welcome Bed and Breakfast | Respite Care | 3570 Sean Circle, Kodiak, AK 99615 | 2011-11-21 |
| 1528358207 | Divine Mercy II Alh, LLC | Respite Care | 417 E 11th Ave Apt 5, Anchorage, AK 99501-4560 | 2011-04-14 |
| 1952534489 | The Ark of Homer | Respite Care | 1136 Seabreeze Ct, Homer, AK 99603-7935 | 2009-09-01 |
| 1467696641 | Wasilla Retirement, LLC | Respite Care | 889 N. Elkhorn Drive, Wasilla, AK 99654 | 2009-05-01 |
| 1780855791 | Trinion Quality Care Services, Inc | Respite Care | 909 Delapp Road, Bethel, AK 99559 | 2008-03-18 |
| 1881865921 | Trinion Quality Care Services, Inc | Respite Care | 1375 E Parks Hwy, Ste D-4, Wasilla, AK 99654-8288 | 2008-03-17 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.