Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Light House Group Home LLC

Organization Substance Use Disorder Rehabilitation Clinic/Center · NPI 1154940864

Light House Group Home LLC is a Substance Use Disorder Rehabilitation Clinic/Center in Mesa, Arizona. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

108 E 2nd Ave Ste 101
Mesa, AZ 85210-1410
Phone: (480) 200-1437
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Use Disorder Rehabilitation Clinic/Center (primary) Taxonomy 261QR0405X

Record details

NPI number1154940864
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeff Presutti — Owner/Ceo · (480) 332-0385
Other names Nova108 Outpatient
NPI enumeratedApril 13, 2020
Last updated in NPPESApril 13, 2020
Certification dateApril 13, 2020
Mailing address108 E 2nd Ave, Mesa, AZ 85210-1410

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