LIGHTHOUSE RANCH – NPI #1982972964
Substance Abuse Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.

Health Care Provider Taxonomy Code for Substance Abuse Rehabilitation Facility

LIGHTHOUSE RANCH is a substance abuse rehabilitation facility located in MORONI, UT. NPPES has assigned the NPI number 1982972964 to LIGHTHOUSE RANCH on December 06, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 3245S0500X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility, specializing in Substance Abuse Treatment, Children

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LIGHTHOUSE RANCH below.

NPI Profile for
LIGHTHOUSE RANCH

NPI Number
1982972964
Enumeration Date

(more than 14 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LIGHTHOUSE RANCH
Primary location
21360 N 1450 E
MORONI, UT 84646-0461
Phone: (435) 445-5200 Fax: (435) 445-5201
Mailing address
PO BOX 461
21360 NORTH 1450 EAST
MORONI, UT 84646
Phone: (435) 445-5200 Fax: (435) 445-5201
Organization Subpart
No
Authorized Official
KEVIN BAILEY
PROGRAM DIRECTOR
Phone: (435) 262-0891
Updated
Identifiers

Identifiers for LIGHTHOUSE RANCH

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDUT1235458555
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
3245S0500X
- Substance Abuse Rehabilitation Facility / Substance Abuse Treatment, Children (Primary)		 UT

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.