Life-Line, Inc.
NPI 1174711873 · Substance Use Disorder Rehabilitation Clinic/Center · North Salt Lake, UT
Life-Line, Inc. is a Substance Use Disorder Rehabilitation Clinic/Center organization in North Salt Lake, UT (NPI 1174711873).
Provider details
- NPI number
- 1174711873
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Shane Petersen, Chief Executive Officer(801) 936-4000
- License
- 11832 (UT)
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
- Lifeline for Youth
Registry dates
- Enumerated
- 2007-10-09
- Last updated
- 2011-10-21
Frequently asked questions
- What is Life-Line, Inc.'s NPI number?
- Life-Line, Inc.'s National Provider Identifier (NPI) is 1174711873, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Life-Line, Inc.?
- Life-Line, Inc. is classified in the NPPES registry as Substance Use Disorder Rehabilitation Clinic/Center (Ambulatory Health Care Facilities).
- Where is Life-Line, Inc. located?
- Life-Line, Inc.'s practice location on file with NPPES is 1130 W Center St, North Salt Lake, UT 84054-2917.
- What is Life-Line, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Life-Line, Inc. is (801) 936-4000.
- Who is the authorized official for Life-Line, Inc.?
- The authorized official listed on Life-Line, Inc.'s NPPES record is Shane Petersen, Chief Executive Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Life-Line, Inc.'s NPI active?
- Yes — Life-Line, Inc.'s NPI (1174711873) is active in the NPPES registry as of the last update on 2011-10-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.