NORTH STAR CENTER, LLC. (NPI# 1285113472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285113472 |
| Entity Type | Organization |
| Organization Name | NORTH STAR CENTER, LLC. |
| Other Organization Name | NORTH STAR DAY TREATMENT |
| Practice Address |
254 S State St Bldg A La Verkin UT 84745-5633 |
| Mailing Address |
690 W. State Street Pmb 34 Hurricane UT 84737-1972 |
| Practice Telephone | 8006350165 |
| Mailing Telephone | 8006350165 |
| Enumeration Date | 2018-08-09 |
| Last Update Date | 2018-12-13 |
| Authorized Official Name | MRS. JANETTE HAWS AHQUIN (MANAGER) |
| Authorized Official Telephone | 4352294889 |
| Is Organization Subpart | Y |
| Parent Organization Name | NORTH STAR CENTER, LLC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0401X |
Clinic/Center Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
63460 | UT | Ambulatory Health Care Facilities |
| N | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
Residential Treatment Facilities | ||
| N | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services | ||
| N | 261QR0401X |
Clinic/Center Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
51933 | UT | Ambulatory Health Care Facilities |
| Y | 323P00000X | Psychiatric Residential Treatment Facility | 39297 | UT | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | DAY TREATMENT LICENSE | 51933 | 01 |
| UT | OUTPATIENT TREATMENT LICENSE | 63460 | 01 |
| UT | STATE RTC LICENSE | 39297 | 01 |
| Other Name | Type Code |
|---|---|
| North Star Day Treatment | Other Name - Individual/Organization |
| North Star Treatment Center | Other Name - Individual/Organization |
| Outpatient Introspection Center | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 204-a S. State Street, La Verkin, UT 847458474 | 4352294889 | |
| 254 S State St Bldg B, La Verkin, UT 847455633 | 8006350165 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821512583 | North Star Center, LLC. | Clinic/Center | 254 S State St Ste A, La Verkin, UT 84745-5633 | 2017-08-02 |
| Street Address |
254 S STATE ST BLDG A |
| City | LA VERKIN |
| State | UT |
| Zip Code | 84745-5633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841766201 | Taylor Lyman Beatty | Nurse Practitioner | 819 N 370 W, La Verkin, UT 84745-5063 | 2018-10-23 |
| 1457450843 | Clifford E Holt | Pharmacist | 495 N State St, La Verkin, UT 84745-5124 | 2006-09-21 |
| 1558605816 | Davis/burkett Food Corp | Pharmacy | 495 N State St, La Verkin, UT 84745-5124 | 2012-11-26 |
| 1366573461 | Market Pharmacy | Pharmacy | 495 N State St, La Verkin, UT 84745-5124 | 2007-03-08 |
| 1326217704 | Timandra E. Fawson | Marriage & Family Therapist | 173 N 250 W, La Verkin, UT 84745-5236 | 2008-02-29 |
| 1780900464 | Cross Creek Manor | Residential Treatment Facility, Emotionally Disturbed Children | 50 S State St, La Verkin, UT 84745-5443 | 2010-04-20 |
| 1225648199 | Soulegria LLC | Clinic/Center | 50 S State St, La Verkin, UT 84745-5443 | 2020-08-05 |
| 1235625385 | Carevoy LLC | Day Training, Developmentally Disabled Services | 50 S State St, La Verkin, UT 84745-5443 | 2018-07-02 |
| 1114457843 | Carevoy LLC | Marriage & Family Therapist | 50 S State St, La Verkin, UT 84745-5443 | 2017-06-15 |
| 1639513278 | Courtney Taylor Lyman | Counselor | 50 S State St, La Verkin, UT 84745-5443 | 2013-04-25 |
| Find all providers in zip 84745 | ||||
| Taxonomy Code | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548872724 | Care Youth Corporation-lava Heights | Psychiatric Residential Treatment Facility | 730 East Spring Drive, Toquerville, UT 84774-7742 | 2020-08-19 |
| 1053946095 | Recovery Innovations Inc | Psychiatric Residential Treatment Facility | 2411 S 1070 W Ste B, West Valley City, UT 84119-1570 | 2020-03-10 |
| 1518460369 | Uinta Academy Rtc, LLC | Psychiatric Residential Treatment Facility | 3746 S 4800 W, Wellsville, UT 84339-9785 | 2018-03-16 |
| 1679085963 | Zion Hills Academy, Inc. | Psychiatric Residential Treatment Facility | 5088 Veterans Memorial Dr, Enoch, UT 84721-7826 | 2017-10-26 |
| 1174051072 | Bridge House | Psychiatric Residential Treatment Facility | 235 S 200 E, Farmington, UT 84025-2320 | 2017-05-23 |
| 1568900116 | Maple Lake Academy for Boys | Psychiatric Residential Treatment Facility | 6612 S 3200 W, Benjamin, UT 84660-4123 | 2017-02-03 |
| 1619412046 | Awakening Behavioral Health, LLC | Psychiatric Residential Treatment Facility | 2973 W 13800 S, Bluffdale, UT 84065-8202 | 2016-12-20 |
| 1245787324 | Sequel Youth Services of Lava Heights | Psychiatric Residential Treatment Facility | 730 E. Spring Drive, Toquerville, UT 84774 | 2016-09-06 |
| 1295188209 | Care Youth Corporation | Psychiatric Residential Treatment Facility | 750 E Sr 9, Virgin, UT 84779-7726 | 2016-07-14 |
| 1184089013 | Ut-tex, Inc | Psychiatric Residential Treatment Facility | 3149 E 9800 S, Sandy, UT 84092-4213 | 2015-12-18 |
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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.