Light House Group Home LLC
NPI 1154940864 · Substance Use Disorder Rehabilitation Clinic/Center · Mesa, AZ
Light House Group Home LLC is a Substance Use Disorder Rehabilitation Clinic/Center organization in Mesa, AZ (NPI 1154940864).
Provider details
- NPI number
- 1154940864
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jeff Presutti, Owner/Ceo(480) 332-0385
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Nova108 Outpatient
Registry dates
- Enumerated
- 2020-04-13
- Last updated
- 2020-04-13
- Certified
- 2020-04-13
Frequently asked questions
- What is Light House Group Home LLC's NPI number?
- Light House Group Home LLC's National Provider Identifier (NPI) is 1154940864, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Light House Group Home LLC?
- Light House Group Home LLC is classified in the NPPES registry as Substance Use Disorder Rehabilitation Clinic/Center (Ambulatory Health Care Facilities).
- Where is Light House Group Home LLC located?
- Light House Group Home LLC's practice location on file with NPPES is 108 E 2nd Ave Ste 101, Mesa, AZ 85210-1410.
- What is Light House Group Home LLC's phone number?
- The practice phone number listed in the NPPES registry for Light House Group Home LLC is (480) 200-1437.
- Who is the authorized official for Light House Group Home LLC?
- The authorized official listed on Light House Group Home LLC's NPPES record is Jeff Presutti, Owner/Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Light House Group Home LLC's NPI active?
- Yes — Light House Group Home LLC's NPI (1154940864) is active in the NPPES registry as of the last update on 2020-04-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.