PURE LIFE ASPIRO LLC


Address: 63 E 11400 S, 186, Sandy, UT 84070-6705
Phone: 8013492740

PURE LIFE ASPIRO LLC (NPI# 1326452137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326452137
Entity Type Organization
Organization Name PURE LIFE ASPIRO LLC
Practice Address 63 E 11400 S
186
Sandy
UT 84070-6705
Mailing Address Apartado 775-8000
San Jose
PEREZ ZELEDON, SAN ISIDRO 11901
CR
Practice Telephone 8013492740
Mailing Telephone 8012325568
Enumeration Date 2014-06-19
Last Update Date 2014-06-19
Authorized Official Name ANDREW TAYLOR (EXECUTIVE DIRECTOR)
Authorized Official Telephone 8012325568
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 322D00000X Residential Treatment Facility, Emotionally Disturbed Children Residential Treatment Facilities

Office Location

Street Address 63 E 11400 S
186
City SANDY
State UT
Zip Code 84070-6705

Providers in the same location

NPI Name Taxonomy Address Enumeration
1447592811 Renew Counseling LLC Community/Behavioral Health 63 E 11400 S, #103, Sandy, UT 84070-6705 2013-03-22

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639777568 Megan Komatsu Inc. Social Worker 10815 700 East, Sandy, UT 84070 2020-10-13
1841803137 Anywhere Care Nurse Practitioner 9980 S. 300 W. Suite 200, Sandy, UT 84070 2020-08-26
1245840552 Kirandeep Kaur Psychologist 9678 700 E # 102, Sandy, UT 84070 2020-08-03
1740890961 Elizabeth Lowe Madsen Counselor 9678 700 East Suite 102, Sandy, UT 84070 2020-08-03
1417597188 Hayley Burr Counselor 8706 700 E, Suite 205, Sandy, UT 84070 2020-01-10
1821656422 Karen Ritchie Counselor 9192 South 300 West, Sandy, UT 84070 2019-05-30
1679068159 Derek Livingston Counselor 11075 State St #35, Sandy, UT 84070 2018-06-27
1891283735 Alta Rx LLC. Pharmacy 9883 South 500 West, Sandy, UT 84070 2018-04-26
1790273704 The Addiction Medicine Physicians Group, LLC Registered Nurse 9160 S 300 E. Ste 25, Sandy, UT 84070 2018-04-25
1841794765 Caryn Beazel Physical Therapist 9350 150 E, Sandy, UT 84070 2018-03-23
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Taxonomy Information

Taxonomy Code 322D00000X
Grouping Residential Treatment Facilities
Classification Residential Treatment Facility, Emotionally Disturbed Children

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962542217 Vista At Dimple Dell Canyon Residential Treatment Facility, Emotionally Disturbed Children 10209 Dimple Dell Rd, Sandy, UT 84092-4536 2007-02-07

Providers in the same taxonomy and state

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
1003430133 Cascade Academy Residential Treatment Facility, Emotionally Disturbed Children 430 W 200 N, Midway, UT 84049 2020-06-04
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
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Competitor

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City SANDY
Zip Code 84070

Improve Information

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Dataset Information

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.

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