Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lighthouse Supportive Living LLC

Organization Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI 1649134867

Lighthouse Supportive Living LLC is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Jersey City, New Jersey. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

758 Ocean Ave
Jersey City, NJ 07304-2725
Phone: (201) 238-1799
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) Taxonomy 320900000X

Record details

NPI number1649134867
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Naquasha McMillan Johnson — Owner · (201) 238-1799
NPI enumeratedDecember 11, 2025
Last updated in NPPESDecember 11, 2025
Certification dateDecember 11, 2025
Mailing address34 Squire Hill Rd, Long Valley, NJ 07853-3223

Other providers in Jersey City