INTERMOUNTAIN COMMUNITY SUPPORTS AND SERVICES, LLC (NPI# 1184981201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184981201 |
Entity Type | Organization |
Organization Name | INTERMOUNTAIN COMMUNITY SUPPORTS AND SERVICES, LLC |
Other Organization Name | ICSS |
Practice Address |
5104 Heritage Cove Taylorsville UT 84129 |
Practice Telephone | 4355124045 |
Practice Fax Number | 8019663312 |
Mailing Telephone | 4355124045 |
Mailing Fax Number | 8019663312 |
Enumeration Date | 2012-04-13 |
Last Update Date | 2012-04-13 |
Authorized Official Name | MR. BRYAN SCOTT CUNNINGHAM (OWNER) |
Authorized Official Telephone | 4355124045 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 253Z00000X | In Home Supportive Care | UT | Agencies | |
Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
Other Name | Type Code |
---|---|
ICSS | Doing Business As Name - Organization |
Street Address |
5104 HERITAGE COVE |
City | TAYLORSVILLE |
State | UT |
Zip Code | 84129 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891140331 | Caring for Kearns | Social Worker | 5525 S 4015 W, Suite #207 A & B, Taylorsville, UT 84129 | 2016-05-03 |
1386014116 | Rusty Scott Burns | Physician Assistant | 4745 South 3200 West, Oquirrh View Clinic, Taylorsville, UT 84129 | 2015-10-06 |
1013398817 | Clifford Simpson | Counselor | 4897 S Avant Cir, Taylorsville, UT 84129 | 2015-06-17 |
1912328576 | Heather Jenkins | Substance Abuse Rehabilitation Facility | 6200 South 3809 West, Kearns, UT 84129 | 2013-12-30 |
1093039521 | Chad Alan Spain | Family Medicine | 3745 West 4700 South, Family Practice, Taylorsville, UT 84129 | 2010-03-26 |
1396068342 | Lindsay Helena Wilson | Dermatology | 3845 West 4700 South, Intermountain Healthcare Taylorsville Clinic, Taylorsville, UT 84129 | 2010-03-04 |
1962962407 | Craig J Campbell Dpm PC | Durable Medical Equipment & Medical Supplies | 5255 S 4015 W, #140, Salt Lake City, UT 84129 | 2019-03-21 |
1851866735 | Katie Nicholls | Physician Assistant | 4745 S 3200 W, Taylorsville, UT 84129 | 2018-10-08 |
1962829374 | Spencer Tingey | Family Medicine | 3730 W 4700 S, Taylorsville, UT 84129 | 2014-03-24 |
1073954996 | Alexander Maxwell Dahmen | Social Worker | 1760 West 4805 South, Taylorsville, UT 84129 | 2013-07-08 |
Find all providers in zip 84129 |
Taxonomy Code | 251C00000X |
Grouping | Agencies |
Classification | Day Training, Developmentally Disabled Services |
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295119295 | Turning Point Services, Inc. | Day Training, Developmentally Disabled Services | 554 7th St Sw, Taylorsville, NC 28681-2417 | 2015-07-20 |
1346509155 | Walkers Home Care | Day Training, Developmentally Disabled Services | 137 7th St Sw, Suite F, Taylorsville, NC 28681-2409 | 2012-05-14 |
1003028499 | Alternative Living Solutions | Day Training, Developmentally Disabled Services | 2218 Kiwi Cir, Taylorsville, UT 84118-1770 | 2007-05-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649820341 | Anderson Care Home | Day Training, Developmentally Disabled Services | 1295 N 1700 W, Farr West, UT 84404-3498 | 2019-09-13 |
1811223803 | Autism Behavior Treatment Center, LLC | Day Training, Developmentally Disabled Services | 12222 S 1000 E, Suite 3, Draper, UT 84020-8278 | 2009-10-26 |
1144412230 | Pryme Corp. | Day Training, Developmentally Disabled Services | 580 E South Weber Dr, South Weber, UT 84405-9206 | 2007-08-14 |
1093921223 | Utah Food Bank Services | Day Training, Developmentally Disabled Services | 1025 S 700 W, Salt Lake City, UT 84104-1504 | 2007-05-15 |
1104032317 | Valley Personnel Service Inc | Day Training, Developmentally Disabled Services | 1368 W 130 S, Orem, UT 84058-5136 | 2007-05-15 |
1629198767 | North Eastern Services | Day Training, Developmentally Disabled Services | 443 Commerce Rd, Orem, UT 84058-5898 | 2007-03-30 |
1881712263 | Enable Industries Incorporated | Day Training, Developmentally Disabled Services | 2640 Industrial Dr, Ogden, UT 84401-3206 | 2007-03-26 |
1356468342 | Davis School District | Day Training, Developmentally Disabled Services | 485 Parc Cir, Clearfield, UT 84015 | 2007-03-23 |
1962529222 | Work, Inc. | Day Training, Developmentally Disabled Services | 262 E 3900 S Ste 126, Salt Lake City, UT 84107-1550 | 2007-03-23 |
1942326723 | Enhancing Life Styles, Inc. | Day Training, Developmentally Disabled Services | 448 E 620 S, Salem, UT 84653-9572 | 2007-03-22 |
Find all providers with the same taxonomy |
City | TAYLORSVILLE |
Zip Code | 84129 |
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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.