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

Q: What is the provider's specialty?

The provider's specialty is Substance Abuse Rehabilitation Facility with taxonomy code 3245S0500X and a focus in Substance Abuse Treatment, Children.

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: July 19, 2026.

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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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