CASCADE ACADEMY (NPI# 1003430133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003430133 |
| Entity Type | Organization |
| Organization Name | CASCADE ACADEMY |
| Practice Address |
430 W 200 N Midway UT 84049 |
| Mailing Address |
Po Box 1145 Midway UT 84049-1145 |
| Practice Telephone | 4355625800 |
| Mailing Telephone | 4355625800 |
| Enumeration Date | 2020-06-04 |
| Last Update Date | 2020-06-04 |
| Authorized Official Name | BRAD GERRARD (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8016553886 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | Residential Treatment Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | CASCADE ACADEMY FOUNDATION | 1331 Nw Eastman Pkwy, Gresham, OR 97030 |
| Street Address |
430 W 200 N |
| City | MIDWAY |
| State | UT |
| Zip Code | 84049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336751965 | Kordine D Steinke | Community Health Worker | 1458 Oak Ln, Midway, UT 84049 | 2020-08-17 |
| 1386017945 | Sabina Jolanta Boies | Physical Therapy Assistant | 1420 W Geneva Dr, Midway, UT 84049 | 2015-11-04 |
| 1386953578 | Henry A. Malus | Naturopath | 210 E. Main St., # 101, Midway, UT 84049 | 2010-10-05 |
| 1407187362 | Jack L Brauer | Dentist | 450 Bern Way, Midway, UT 84049 | 2010-01-15 |
| 1912152299 | Alpine Treatment Services, LLC | Substance Abuse Rehabilitation Facility | 375 Rainbow Lane, Midway, UT 84049 | 2008-11-30 |
| 1235152323 | Gary A Hafer | Specialist | 529 West 200 North, Midway, UT 84049 | 2006-07-26 |
| 1588274013 | Jack L Cox | Family Medicine | 1588 N Dutch Meadows Ln, Midway, UT 84049-1275 | 2020-08-10 |
| 1174853485 | Gerald L Hayward | Family Medicine | 909 Kohler Ln, Midway, UT 84049-6001 | 2010-01-08 |
| 1427486976 | Ridley's Family Markets, Inc | Pharmacy | 42 W Main St, Midway, UT 84049-6313 | 2013-10-18 |
| 1689948804 | Monique Hall | Pharmacist | 42 W Main St, Midway, UT 84049-6313 | 2012-03-06 |
| Find all providers in zip 84049 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013167 | Elevated Youth Services | Residential Treatment Facility, Emotionally Disturbed Children | 10928 S Eureka Dune Dr, South Jordan, UT 84009-4173 | 2020-11-04 |
| 1659900835 | Change Academy At Lake of The Ozarks | Residential Treatment Facility, Emotionally Disturbed Children | 266 South Left Fork Hobble Creek Canyon Road, Springville, UT 84663 | 2020-04-08 |
| 1083107320 | Red Circle Lodge, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 930 N Memorial St, Hildale, UT 84784 | 2018-06-12 |
| 1023560679 | Meridian Mentoring | Residential Treatment Facility, Emotionally Disturbed Children | 635 South Main St., Orangeville, UT 84537 | 2016-10-31 |
| 1720456981 | Gateway Academy, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 941 E Cattail Dr, Draper, UT 84020-8583 | 2015-09-04 |
| 1033592290 | Keystone Family Support, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 2558 Valley View Dr, Layton, UT 84040-7654 | 2015-07-07 |
| 1285033977 | Utah Family Care LLC | Residential Treatment Facility, Emotionally Disturbed Children | 3575 S 3200 W Apt 6c, West Valley City, UT 84119-3571 | 2014-08-19 |
| 1982011649 | Teen Discovery Home | Residential Treatment Facility, Emotionally Disturbed Children | 10 East 100 South, Gunnison, UT 84634 | 2014-07-15 |
| 1245663947 | South Pointe Youth | Residential Treatment Facility, Emotionally Disturbed Children | 1500 South 580 West, Manti, UT 84642-0314 | 2013-08-16 |
| 1508207630 | Discovery Ranch for Girls | Residential Treatment Facility, Emotionally Disturbed Children | 4928 N 4500 W, Cedar City, UT 84721-5632 | 2013-07-17 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.