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LIGHTHOUSE RANCH
NPI 1982972964
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children in Moroni, UT

Active since December 06, 2011
21360 N 1450 E, MORONI, UT 84646(435) 445-5200(435) 445-5201 Get Directions Write a Review

NPPES record last updated: December 6, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lighthouse Ranch NPPES

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

LIGHTHOUSE RANCH (NPI 1982972964) is a healthcare organization registered as a substance abuse treatment, children in Moroni, Utah and active in the NPI registry since December 2011. The organization lists Kevin Roger Bailey, Program Director, as its authorized official.

NPPES Registry Identity

NPI1982972964
Entity TypeOrganization
Primary Taxonomy3245S0500X
Legal Business NameLIGHTHOUSE RANCH
Location Address21360 N 1450 EMoroni, UT 84646-0461
Mailing AddressPo Box 461, 21360 North 1450 EastMoroni, UT 84646 · (435) 445-5200 · Fax (435) 445-5201
Phone(435) 445-5200
Fax(435) 445-5201
Organization SubpartNo
Authorized OfficialKevin Roger BaileyProgram Director · (435) 262-0891
Enumeration DateDecember 6, 2011
✔ NPI 1982972964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation Facility · Substance Abuse Treatment, ChildrenResidential Treatment Facilities
Taxonomy Code3245S0500X
Definition
A facility or distinct part of a facility for children 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.
21360 N 1450 E, Moroni, UT 84646
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Other Identifiers 1

Medicaid1235458555UT

Other Providers at the Same Location NPPES 20

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

TREVOR ATCHISON
Peer Specialist
21360 N 1450 E
MORONI, UT 84646
Sanpete County (435) 262-1217
AMY RUTH BROWN
Counselor
21360 N 1450 E
MORONI, UT 84646
Sanpete County (435) 445-5200
LANCE IRONS
Counselor (Addiction (Substance Use Disorder))
21360 N 1450 E
MORONI, UT 84646
Sanpete County (435) 445-5200
KEITH LIVINGSTON
Counselor
21360 N 1450 E
MORONI, UT 84646
Sanpete County (435) 262-1217
ETHAN COLBURN CMHCI
Substance Abuse Rehabilitation Facility
21360 N 1450 E
MORONI, UT 84646
Sanpete County (435) 445-5200
HUNTER LEE HOPES
Counselor
21360 N 1450 E
MORONI, UT 84646
Sanpete County (435) 262-1217
ALEJANDRO SERRANO
Counselor
21360 N 1450 E
MORONI, UT 84646
Sanpete County (435) 262-1217
BART DOUGLAS HENNAGIR ASSOCIATES OF SCIENC
Counselor
21360 N 1450 E
MORONI, UT 84646
Sanpete County (435) 445-5200

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 Lighthouse Ranch's NPI number?

The NPI number for Lighthouse Ranch is 1982972964. It was assigned to this organization in the NPPES registry on December 6, 2011.

Where is Lighthouse Ranch located?

Lighthouse Ranch is located at 21360 N 1450 E, Moroni, UT 84646. The listed phone number is (435) 445-5200.

What is Lighthouse Ranch's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility, specializing in Substance Abuse Treatment, Children, with taxonomy code 3245S0500X.

When was this NPI record last updated?

The NPPES record for Lighthouse Ranch was last updated on December 6, 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.