# BEACON HOUSE LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BEACON HOUSE LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1740094895
- **Legal business name:** BEACON HOUSE LLC
- **Authorized official:** HOLLY REN'EE JONES (OWNER)
- **Authorized official phone:** (435) 840-2602

## Contact information

- **Practice address:** 60 S MAIN ST STE 6, TOOELE, UT 84074-2136
- **Practice address phone:** (435) 255-6150
- **Mailing address:** 60 S MAIN ST STE 6, TOOELE, UT 84074-2136

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/06/2025
- **Last updated:** 02/06/2025