Lighthouse Ranch
Lighthouse Ranch is a healthcare organization registered as Children's Substance Abuse Rehabilitation Facility in Moroni, UT, holding Type 2 (organization) NPI 1982972964 since 2011. The authorized official on file is Kevin Bailey, Program Director.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1982972964 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Lighthouse Ranch |
| Practice address | 21360 N 1450 E, Moroni, UT, 84646 |
| Phone | 4354455200 |
| Fax | 4354455201 |
| Enumeration date | 2011-12-06 |
| Last updated in NPPES | 2011-12-06 |
Authorized official
| Name | Kevin Bailey |
|---|---|
| Title | Program Director |
| Phone | 4352620891 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 3245S0500X | Children's Substance Abuse Rehabilitation Facility | Primary | — | UT |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235458555 | Medicaid | UT | — |
Copy-ready billing details
Provider: Lighthouse Ranch NPI: 1982972964 Taxonomy: 3245S0500X (Children's Substance Abuse Rehabilitation Facility) Address: 21360 N 1450 E, Moroni, UT, 84646
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1124328349 | Lance Irons | Individual | Addiction (Substance Use Disorder) Counselor | Moroni, UT |
| 1952672735 | Matthew Jacobson | Individual | Addiction (Substance Use Disorder) Counselor | Moroni, UT |
| 1568712453 | Kenneth Rawlings | Individual | Addiction (Substance Use Disorder) Counselor | Moroni, UT |
| 1629497458 | James Beasley | Individual | Substance Abuse Rehabilitation Facility | Moroni, UT |
| 1629488762 | Kathy Harward | Individual | Counselor | Moroni, UT |
| 1366845786 | Bart Hennagir | Individual | Counselor | Moroni, UT |
| 1639565260 | Salt Creek Addiction Recovery Services | Organization | Children's Substance Abuse Rehabilitation Facility | Moroni, UT |
| 1720465727 | Blue Hills Residential Treatment | Organization | Substance Abuse Rehabilitation Facility | Moroni, UT |
Verify this record
Cross-check NPI 1982972964 against the authoritative CMS record: view Lighthouse Ranch on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Lighthouse Ranch?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2011-12-06.