Active NPIOrganization

Lighthouse Operator LLC

Skilled Nursing Facility in Revere, Massachusetts

NPI Number1760212567
Practice location
204 Proctor Ave, Revere, MA 02151-4923
Fax
—
Last updated
July 9, 2025

Lighthouse Operator LLC is a healthcare organization based in Revere, MA. Lighthouse Operator LLC practices in Revere, MA. The NPI Number for Lighthouse Operator LLC is 1760212567. The current practice location address for Lighthouse Operator LLC is 204 Proctor Ave, Revere, MA 02151-4923 and can be reached out via phone at 781-286-3100.

Provider Profile Details

NPI Number
1760212567
Provider Name
Lighthouse Operator LLC
Provider Entity Type
Organization
Address
204 Proctor Ave, Revere, MA 02151-4923
Phone Number
781-286-3100
Primary Taxonomy
Skilled Nursing Facility · 314000000X
Organization Subpart
No
Authorized Official
Mindee Posen · Medicare Administration Officer · 732-903-1958
Other Names
Lighthouse Rehabilitation And Healthcare Center (Doing Business As)
Provider Enumeration Date
August 6, 2024
Last Update Date
July 9, 2025
Certification Date
July 9, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
204 Proctor Ave
Revere, MA 02151-4923
City
Revere
Zip
02151-4923
Phone Number
781-286-3100
Revere, MA 02151Get directions →

Provider Business Mailing Address Details

Address
204 Proctor Ave
Revere, MA 02151-4923
City
Revere
State
MA
Zip
02151-4923

License Information

Taxonomy
Skilled Nursing Facility · 314000000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Lighthouse Operator LLC?

The NPI number of Lighthouse Operator LLC is 1760212567. It was assigned on August 6, 2024 and is currently active in the NPPES registry.

What is the specialty of Lighthouse Operator LLC?

Lighthouse Operator LLC is registered under the primary taxonomy Skilled Nursing Facility (code 314000000X).

Where does Lighthouse Operator LLC practice?

The practice location is 204 Proctor Ave, Revere, MA 02151-4923. The office can be reached at 781-286-3100 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1760212567 directly on the NPPES registry website.

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