LIGHTHOUSE RANCH CORPORATION (NPI# 1992079099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992079099 |
| Entity Type | Organization |
| Organization Name | LIGHTHOUSE RANCH CORPORATION |
| Practice Address |
390 East 100 South Ephraim UT 84627 |
| Mailing Address |
Po Box 461 Moroni UT 84646 |
| Practice Telephone | 4352835200 |
| Mailing Telephone | 4354455200 |
| Mailing Fax Number | 4354455201 |
| Enumeration Date | 2012-03-07 |
| Last Update Date | 2012-03-07 |
| Authorized Official Name | KEVIN BAILEY (PROGRAM DIRECTOR) |
| Authorized Official Telephone | 4352620891 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | ========= | UT | Residential Treatment Facilities |
| Street Address |
390 EAST 100 SOUTH |
| City | EPHRAIM |
| State | UT |
| Zip Code | 84627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821357989 | Alix Sorensen | Counselor | 390 East 100 South, Ephraim, UT 84627-0000 | 2012-05-10 |
| 1710243795 | Matthew H Larson | Counselor | 390 East 100 South, Ephraim, UT 84627 | 2012-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730555400 | Snow College | Specialist/Technologist | 150 E. College Way, Ephraim, UT 84627 | 2015-08-18 |
| 1457601353 | Riley David Beck | Counselor | 390 E 100 S, Ephraim, UT 84627 | 2012-09-18 |
| 1598067647 | Stephanie Irons | Counselor | 45 W 700 S, Ephraim, UT 84627 | 2010-11-23 |
| 1801104054 | Young Women's Empowerment Center | Community Based Residential Treatment Facility, Mental Illness | 90 North 161 West, Young Women's Empowerment Center, Ephraim, UT 84627 | 2010-09-22 |
| 1245548742 | Young Women's Empowerment Center Long Term 3 | Community Based Residential Treatment Facility, Mental Illness | 66 N. 180 W., Ephraim, UT 84627 | 2010-09-17 |
| 1073825402 | Rachel Allen | Social Worker | 45 West 700 South, Ephraim, UT 84627 | 2010-07-14 |
| 1154490613 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 728 N 50 E, Ephraim, UT 84627 | 2006-11-07 |
| 1477656452 | Leland R Thompson | Dentist | 35 E 400 S, Ephraim, UT 84627 | 2006-09-06 |
| 1750312674 | Ephraim City Corporation | Ambulance | 45 E Center St, Ephraim, UT 84627 | 2006-07-06 |
| 1982632600 | Steven D. Brown | Psychologist | 96 S. Main #2, Ephraim, UT 84627 | 2006-06-29 |
| Find all providers in zip 84627 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | 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 individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013886 | Brc Wellness LLC | Substance Abuse Rehabilitation Facility | 4911 S 900 E Ste B, Salt Lake City, UT 84117-5747 | 2020-11-06 |
| 1891307104 | Steps Recovery Center | Substance Abuse Rehabilitation Facility | 345 E 4500 S # 100-140, Murray, UT 84107-3991 | 2020-08-18 |
| 1104460666 | Active Recovery, LLC | Substance Abuse Rehabilitation Facility | 25 S Main St # 212, Centerville, UT 84014-1840 | 2019-10-28 |
| 1437709441 | Insight Recovery Cedar City, LLC | Substance Abuse Rehabilitation Facility | 1050 W Old Highway 91, Parowan, UT 84761-7725 | 2019-09-12 |
| 1316506470 | Evnsq, LLC | Substance Abuse Rehabilitation Facility | 5162 S Highland Dr, Holladay, UT 84117-7048 | 2019-06-11 |
| 1114584356 | Juniper Canyon Recovery Center for Women, LLC | Substance Abuse Rehabilitation Facility | 520 North Aspen Road, Loa, UT 84747-8474 | 2019-05-23 |
| 1750948030 | Liberty Addiction Recovery Centers LLC | Substance Abuse Rehabilitation Facility | 10458 N 6570 W, Highland, UT 84003-9311 | 2019-05-22 |
| 1235793290 | Mountain Valley Recovery LLC | Substance Abuse Rehabilitation Facility | 9431 N 400 W, Holden, UT 84636 | 2019-04-25 |
| 1346803525 | Brookstone Foundation | Substance Abuse Rehabilitation Facility | 198 N 100 E # 198n100e, St George, UT 84770-2831 | 2019-04-15 |
| 1639649684 | Sterling Recovery | Substance Abuse Rehabilitation Facility | 525 W 465 N Ste 130, Providence, UT 84332-5604 | 2018-12-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.