NORTHERN LIGHTHOUSE INC. NPI 1831311968

NPI Information

  • NPI: 1831311968
  • Provider Name: NORTHERN LIGHTHOUSE INC.
  • Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
  • Entity Type: Organization
  • CLIA Number: 20D2191852
  • Address: 14 MAIN ST
    MARS HILL, ME
    ZIP 04758
  • Phone: (207) 425-3880

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NPI Details

NORTHERN LIGHTHOUSE INC. is a community based residential treatment facility, intellectual and/or developmental disabilities in Mars Hill, ME. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. NORTHERN LIGHTHOUSE INC. NPI is 1831311968. The provider is registered as an organization entity type.

The provider's business location address is:

14 MAIN ST
MARS HILL, ME
ZIP 04758
Phone: (207) 425-3880

The provider's authorized official is Scott Alan Cray .
The authorized official title is Human Resource Admin and has the following contact phone number (207) 554-5114.

The CLIA number assigned to this NPI record is 20D2191852 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/2/2007 and was last updated on 2/4/2015.

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
1322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenMAINENo
2251S00000XCommunity/Behavioral HealthMAINENo
3320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesMAINEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11355800001MEDICAIDMAINE
2135580100MEDICAIDMAINE
3432482300MEDICAIDMAINE
4135580000MEDICAIDMAINE

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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