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 Abuse Rehabilitation Facility · NPI 1316505753

Light House Group Home LLC is a Substance Abuse Rehabilitation Facility in Mesa, Arizona. Registered with an NPI since 2019.

In the registry since
2019
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
Mesa, AZ 85210-1410
Phone: (480) 332-0385
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Abuse Rehabilitation Facility (primary) Taxonomy 324500000X

Record details

NPI number1316505753
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeff Presutti — Ceo · (480) 332-0385
NPI enumeratedMay 31, 2019
Last updated in NPPESMay 31, 2019
Mailing address9713 E El Paso St, Mesa, AZ 85207-5351

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