Provider Demographics
NPI:1801008255
Name:LIGHTHOUSE ACADEMIES INC
Entity type:Organization
Organization Name:LIGHTHOUSE ACADEMIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOT VICE PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:JODI
Authorized Official - Middle Name:
Authorized Official - Last Name:TUCKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-626-0901
Mailing Address - Street 1:1661 WORCESTER RD
Mailing Address - Street 2:SUITE 207
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01701-5402
Mailing Address - Country:US
Mailing Address - Phone:508-626-0901
Mailing Address - Fax:
Practice Address - Street 1:1775 W 41ST AVE
Practice Address - Street 2:GARY LIGHTHOUSE CHARTER SCHOOL
Practice Address - City:GARY
Practice Address - State:IN
Practice Address - Zip Code:46408-2464
Practice Address - Country:US
Practice Address - Phone:219-884-2407
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)