Lifeline for Youth – Children's Substance Abuse Rehabilitation Facility, NPI 1780884742

Lifeline for Youth is a healthcare provider. based in North salt lake, Utah. specializing in Children's Substance Abuse Rehabilitation Facility. The NPI Number for Lifeline for Youth is 1780884742

Main info

Organization
Name
Lifeline for Youth
NPI
1780884742
Phone
(801) 936-4000
Address
1130 W CENTER ST
Authorized Official
MR. SHANE R PETERSEN CHIEF EXECUTIVE OFFICER MBA
Enumeration Date
18 July 2007
Last Update Date
10 April 2015
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness80
Years active:18State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for Lifeline for Youth

  • North Salt Lake, Davis County, Utah, 84054, United States

    NORTH SALT LAKE, UT 840542917

    Phone: (801) 936-4000

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84054)

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Reviews

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Frequently asked questions

What is Lifeline for Youth's NPI number?
Lifeline for Youth's NPI is 1780884742 — the number used across U.S. healthcare to identify this provider.
Would Lifeline for Youth appear as active to a payer?
You can treat Lifeline for Youth as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to Lifeline for Youth?
Lifeline for Youth's specialty line reads Children's Substance Abuse Rehabilitation Facility. Clinical services aligned with this taxonomy classification.
Is Lifeline for Youth located near North Salt Lake?
Lifeline for Youth currently maps to North Salt Lake, Utah in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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