Organization · Type 2 NPI

Lighthouse Supportive Living LLC

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Jersey City, NJ

NPI number 1649134867 Active

Practice location

758 Ocean Ave
Jersey City, NJ 07304-2725

Call (201) 238-1799 Map

Mailing address

34 Squire Hill Rd
Long Valley, NJ 07853-3223

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XNone listed

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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About NPI 1649134867

Lighthouse Supportive Living LLC's National Provider Identifier is 1649134867, issued on Dec 11, 2025. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Jersey City, NJ. The record was last updated on Dec 11, 2025.