THE LIGHT HOUSE LLC NPI 1013733625

NPI Information

  • NPI: 1013733625
  • Provider Name: THE LIGHT HOUSE LLC
  • Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
  • Entity Type: Organization
  • Address: 116 YESTER OAKS WAY E APT J
    GREENSBORO, NC
    ZIP 27455
  • Phone: (336) 324-7223

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NPI Details

THE LIGHT HOUSE LLC is a residential treatment facility, intellectual and/or developmental disabilities in Greensboro, NC. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. THE LIGHT HOUSE LLC NPI is 1013733625. The provider is registered as an organization entity type.

The provider's business location address is:

116 YESTER OAKS WAY E APT J
GREENSBORO, NC
ZIP 27455-140
Phone: (336) 324-7223

The provider's authorized official is Temuka Hoskins Hendrix .
The authorized official title is Owner and has the following contact phone number (336) 324-7223.

The enumeration date for this NPI number is 11/27/2024 and was last updated on 11/27/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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