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INNERCHANGE LAKE HOUSE LLC NPI 1215524756


NPI Information

NPI: 1215524756
Provider Name: INNERCHANGE LAKE HOUSE, LLC

Other Name: LAKE HOUSE ACADEMY

Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization
Address:
447 LILY PAD LN
FLAT ROCK, NC
ZIP 28731
Phone: (435) 229-5498
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INNERCHANGE LAKE HOUSE, LLC is a residential treatment facility emotionally disturbed children in Flat Rock, NC. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. INNERCHANGE LAKE HOUSE, LLC NPI is 1215524756. The provider is registered as an organization entity type.
The provider Other Name Is Lake House Academy.

The provider's business location address is:

447 LILY PAD LN
FLAT ROCK, NC
ZIP 28731-503
Phone: (435) 229-5498

The provider's authorized official is Laura J Brown .
The authorized official title is Vp Of Revenue Cycle Management and has the following contact phone number (661) 829-4060.

The enumeration date for this NPI number is 12/30/2020 and was last updated on 11/29/2023.


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
1251S00000XCommunity/Behavioral HealthNo
2322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenYes

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: 5/5/2024

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