1891283255 NPI number — A AND K ENTERPRISES INC

Table of content: (NPI 1891283255)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1891283255 NPI number — A AND K ENTERPRISES INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
A AND K ENTERPRISES INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
LIGHTHOUSE COUNSELING AND MEDIATION SERVICES
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1891283255
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/21/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
30697 KING RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SALEM
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
44460-9531
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
330-853-6523
Provider Business Mailing Address Fax Number:
740-314-5527

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
320 MARKET ST FL 3
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
STEUBENVILLE
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43952-2153
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
740-314-5339
Provider Business Practice Location Address Fax Number:
740-314-5527
Provider Enumeration Date:
05/01/2018

Additional Information

Authorized Official

Authorized Official Last Name:
FORD
Authorized Official First Name:
KIMBERLY
Authorized Official Middle Name:
ANN
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
330-853-6523

Provider Taxonomy Codes

  • Taxonomy code: 101YA0400X , with the licence number:  081188 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 101YP2500X , with the licence number: E0600491 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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