CEREBRAL PALSY OF UTAH (NPI# 1013070028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013070028 |
| Entity Type | Organization |
| Organization Name | CEREBRAL PALSY OF UTAH |
| Other Organization Name | FOUNDATIONS FOR INDEPENDENCE |
| Practice Address |
3550 S 700 W Salt Lake City UT 84119-4120 |
| Practice Telephone | 8012661805 |
| Practice Fax Number | 8012662404 |
| Mailing Telephone | 8012661805 |
| Mailing Fax Number | 8012662404 |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2010-09-02 |
| Authorized Official Name | MS. SHELLY G PETTY (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8012661805 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320700000X | Residential Treatment Facility, Physical Disabilities | UT | Residential Treatment Facilities | |
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | UT | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Foundations for Independence | Doing Business As Name - Organization |
| Street Address |
3550 S 700 W |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84119-4120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164981932 | Arches Home Care, Inc. | Non-emergency Medical Transport (VAN) | 1385 W 2200 S Ste 203, West Valley City, UT 84119 | 2019-03-19 |
| 1629591003 | Exemplar Healthcare, Inc. | Hospice Care, Community Based | 1385 W 2200 S Ste 202, West Valley City, UT 84119 | 2017-07-18 |
| 1619358496 | Otto Bock Orthopedic Services LLC | Durable Medical Equipment & Medical Supplies | 2875 S Decker Lake Dr Ste 180, West Valley City, UT 84119 | 2015-06-17 |
| 1821407735 | Nathan William Stobbe | Dentist | 3280 W. 3500 S. Ste 3, West Valley, UT 84119 | 2014-08-05 |
| 1801209028 | Utah Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3148 W 3500 S, West Valley City, UT 84119 | 2014-06-05 |
| 1215347935 | Karl Edward Jennings | Social Worker | 3901 S David Pl, West Valley City, UT 84119 | 2014-05-02 |
| 1750624672 | Shannon Quinn Dunlop | Registered Nurse | 2621 S 3270 W, West Valley City, UT 84119 | 2013-03-28 |
| 1215273529 | Holly H Tanski | Counselor | 5770 S. 1500 W. Bld A, Ihc Wasatch Canyons Campus, Salt Lake City, UT 84119 | 2012-12-14 |
| 1982955860 | Oquirrh Meadows Care and Rehab, Inc | Assisted Living Facility | 2948 So. Redwood Road, West Valley City, UT 84119 | 2012-10-02 |
| 1518235068 | Asjad Kaleem Mohammed | Pharmacist | 2290 S Redwood Road, Olive Pharmacy, Salt Lake City, UT 84119 | 2011-12-12 |
| Find all providers in zip 84119 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093920613 | Brighter Futures, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6138 S 380 W, Salt Lake City, UT 84107-6988 | 2007-05-14 |
| 1912064650 | Community Treatment Alternatives | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4444 S 700 E, 203, Salt Lake City, UT 84107-3075 | 2007-01-02 |
| 1336218924 | Dungarvin Utah LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4001 S 700 E, Suite 548, Salt Lake City, UT 84107 | 2006-11-07 |
| 1497292791 | Future Rising Agency | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 339 E 3900 S, Suite 150, Salt Lake City, UT 84107-1677 | 2017-01-24 |
| 1063882710 | Rha Health Service Ut LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 645 S 1300 E, Salt Lake City, UT 84102 | 2015-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942748249 | Black Shirt Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 513 S 3040 W, Lehi, UT 84043-5636 | 2017-02-07 |
| 1881002061 | Compass Academy Transitional Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4800 E 17160 N, Moroni, UT 84646 | 2014-07-31 |
| 1073811196 | Chrysalis Texas | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 531 E 770 N, Orem, UT 84097-4102 | 2011-03-14 |
| 1780914572 | Kt&t, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1140 36th St Ste 285, Ogden, UT 84403-2064 | 2009-12-30 |
| 1386897650 | Friends for Life, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2228 S 2325 W, Syracuse, UT 84075-9282 | 2008-10-29 |
| 1164673331 | Empowered for Life, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5004 West Janette Drive, West Valley City, UT 84120 | 2008-10-07 |
| 1932359833 | Tri Connections, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1921 N 1120 W, Provo, UT 84604-1044 | 2008-09-26 |
| 1164542379 | Key Residential Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1361 S 740 E, Orem, UT 84097-8083 | 2007-03-30 |
| 1013059948 | Choices Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 484 South 1st East, Wellington, UT 84542-0155 | 2007-02-14 |
| 1730234733 | Eaton Alliance, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9710 S 700 E, 111, Sandy, UT 84070-3594 | 2007-01-23 |
| Find all providers with the same taxonomy | ||||
| City | SALT LAKE CITY |
| Zip Code | 84119 |
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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.