NPIMap

Organization Active NPI

Lighthouse Academy LLC

  • Substance Abuse Rehabilitation Facility
  • Moroni, UT
National Provider Identifier
1447579115
Registry record updated May 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
32253J00000X Issued in UT
Legal business name
LIGHTHOUSE ACADEMY LLC
Practice address
21260 N. 1450 E.
Moroni, UT 84646-0383
Phone
(435) 851-6821
NPI assigned
May 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Paul Bailey
Title
Owner
Phone
(435) 851-6821

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 32253J00000X UT Primary

Addresses

Primary practice location

21260 N. 1450 E.
Moroni, UT 84646-0383

Mailing address

21260 North 1450 East
Moroni, UT 84646
Phone (435) 851-6821

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1274313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274313600000",
    "number": "1447579115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21260 NORTH 1450 EAST",
            "city": "MORONI",
            "state": "UT",
            "postal_code": "84646",
            "telephone_number": "435-851-6821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21260 N. 1450 E.",
            "city": "MORONI",
            "state": "UT",
            "postal_code": "846460383",
            "telephone_number": "435-851-6821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE ACADEMY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-20",
        "last_updated": "2010-05-20",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-851-6821",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "UT",
            "license": "32253J00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moroni, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.