LIFELINE FOR YOUTH
NPI 1174711873
Clinic/Center - Rehabilitation, Substance Use Disorder in North Salt Lake, UT

Q: What is Life-Line, Inc.'s NPI number?

The NPI number for Life-Line, Inc. is 1174711873. It was assigned to this organization in the NPPES registry on October 9, 2007. The provider is doing business as Lifeline For Youth.

Q: What is Life-Line, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Q: When was this NPI record last updated?

The NPPES record for Life-Line, Inc. was last updated on October 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 09, 2007

1130 W CENTER ST, NORTH SALT LAKE, UT 84054(801) 936-4000 Get Directions Write a Review

NPPES record last updated: October 21, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Lifeline For Youth NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIFELINE FOR YOUTH (NPI 1174711873) is a healthcare organization registered as a rehabilitation, substance use disorder in North Salt Lake, Utah and active in the NPI registry since October 2007. The organization lists Shane R Petersen, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1174711873

Entity TypeOrganization

Primary Taxonomy261QR0405X

Legal Business NameLIFE-LINE, INC.

Location Address1130 W CENTER STNorth Salt Lake, UT 84054-2917

Mailing Address1130 W Center StNorth Salt Lake, UT 84054-2917 · (801) 936-4000

Phone(801) 936-4000

Organization SubpartNo

Authorized OfficialShane R PetersenChief Executive Officer · (801) 936-4000

Enumeration DateOctober 9, 2007

Last NPPES UpdateOctober 21, 2011

✔ NPI 1174711873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities

Taxonomy Code261QR0405X

License✔ Licensed in UT · 11832

Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X · License 11832 (UT)

1130 W CENTER ST, North Salt Lake, UT 84054

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Other Names 1

Doing Business AsLifeline For Youth

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RALPH WILLIAM KNAPP M.D.

Psychiatry & Neurology (Child & Adolescent Psychiatry)

1130 W CENTER ST
NORTH SALT LAKE, UT 84054

Davis County (801) 936-4000

LIFE-LINE, INC.

Substance Abuse Rehabilitation Facility

1130 W CENTER ST
NORTH SALT LAKE, UT 84054

Davis County (801) 936-4000

LIFELINE BEHAVIORAL HEALTH, LLC

Substance Abuse Rehabilitation Facility (Substance Abuse Treatment, Children)

1130 W CENTER ST
NORTH SALT LAKE, UT 84054

Davis County (801) 936-4000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Life-Line, Inc.'s NPI number?

The NPI number for Life-Line, Inc. is 1174711873. It was assigned to this organization in the NPPES registry on October 9, 2007. The provider is doing business as Lifeline For Youth.

Where is Life-Line, Inc. located?

Life-Line, Inc. is located at 1130 W Center St, North Salt Lake, UT 84054. The listed phone number is (801) 936-4000.

What is Life-Line, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

When was this NPI record last updated?

The NPPES record for Life-Line, Inc. was last updated on October 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.