BIG LAKE COUNTRY CLUB, LLC – Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility, NPI 1639497415

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

BIG LAKE COUNTRY CLUB, LLC is a healthcare provider. based in Wasilla, Alaska. specializing in Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility. The organization holds a License No. CMG (AK). The NPI Number for BIG LAKE COUNTRY CLUB, LLC is 1639497415

Main info

Organization
Name
BIG LAKE COUNTRY CLUB, LLC
NPI
1639497415
Phone
(907) 892-6944
Address
PO BOX 299136
Authorized Official
MS. LYNDA PLETTNER PRESIDENT / ADMINISTRATOR
Enumeration Date
4 May 2010
Last Update Date
5 July 2023
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness75
Years active:16State licenses:3Digital endpointsOther names

Provider Addresses for BIG LAKE COUNTRY CLUB, LLC

  • PO BOX 299136

    WASILLA, AK 99629

    Phone: (907) 892-6944

    Type: Mailing

  • 12528 HAWK LANE

    HOUSTON, AK 99694

    Phone: (907) 892-6944

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 99629)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Does BIG LAKE COUNTRY CLUB, LLC share an NPI with anyone else?
NPI numbers are unique to each provider or organization — BIG LAKE COUNTRY CLUB, LLC uses 1639497415.
Does the file indicate BIG LAKE COUNTRY CLUB, LLC is practicing under active NPI?
Directory data currently reports BIG LAKE COUNTRY CLUB, LLC as active.
What taxonomy line describes BIG LAKE COUNTRY CLUB, LLC?
For research purposes, treat BIG LAKE COUNTRY CLUB, LLC as Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect BIG LAKE COUNTRY CLUB, LLC on a map?
Expect Wasilla, Alaska as a primary anchor for BIG LAKE COUNTRY CLUB, LLC unless the record lists multiple sites.
Why does BIG LAKE COUNTRY CLUB, LLC have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

Similar Providers

LYNDA J PLETTNER

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
PO BOX 299136
NPI: 1154503688

BIG LAKE COUNTRY CLUB

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
PO BOX 299136
NPI: 1154580835

BIG LAKE MENTAL HEALTH SERVICES

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
PO BOX 299136
NPI: 1932339942

COLONY MANOR HC

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
PO BOX 870469
NPI: 1184941866

J&J INDEPENDENT LIVING, LLC

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
165 E PARKS HWY
NPI: 1639570203

WINDY RIDGE ASSISTED LIVING

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
7781 W DEAN DR
NPI: 1700312790

MARSHA SOMMERVILLE

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
7781 W DEAN DR
NPI: 1932629508

LAKE HAVEN HOMES, LLC

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
638, West Parks Highway, Wasilla, Matanuska-Susitna, Alaska, 99654, United States
NPI: 1598264715

O'Bies Adobe, LLC

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
4128 E COUNTRY FIELD CIR
NPI: 1255813655