MANDI MOLCHAN (NPI# 1518268085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518268085 |
| Entity Type | Individual |
| Full Name | MANDI MOLCHAN |
| Practice Address |
8510 S Ten Mile Rd Marysvale UT 84750 |
| Mailing Address |
Po Box 133 Marysvale UT 84750-0133 |
| Practice Telephone | 4352019215 |
| Practice Fax Number | 4355278883 |
| Mailing Telephone | 4352019215 |
| Mailing Fax Number | 4355278883 |
| Enumeration Date | 2010-11-15 |
| Last Update Date | 2010-11-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| Y | 253J00000X | Foster Care Agency | Agencies |
| Street Address |
8510 S TEN MILE RD |
| City | MARYSVALE |
| State | UT |
| Zip Code | 84750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760791826 | Chris Woods | Counselor | 8510 S Ten Mile Rd, Marysvale, UT 84750 | 2010-10-06 |
| 1336440874 | Ben Lindgren | Counselor | 8510 S Ten Mile Rd, Marysvale, UT 84750 | 2010-11-16 |
| 1831490317 | Clint Shepherd | Counselor | 8510 S Ten Mile Rd, Marysvale, UT 84750 | 2010-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679874838 | Darren Swalberg | Counselor | 8500 S Ten Mile Rd, Marysvale, UT 84750 | 2010-11-04 |
| 1558670612 | Piute Youth Development Center | Foster Care Agency | 8510 South Ten Mile Road, Marysvale, UT 84750 | 2010-10-06 |
| 1477868354 | Dale Eborn | Counselor | 8500 S. Ten Mile Rd, Marysvale, UT 84750 | 2010-08-16 |
| 1225339484 | Kevin Molchan | Counselor | 8500 S Ten Mile Rd, Marysvale, UT 84750 | 2010-11-04 |
| 1467761528 | Wanda Stewart | Counselor | 8510 South Ten Mile Road, Marysvale, UT 84750 | 2010-10-06 |
| 1104131085 | Toinette Bassett Barnson | Counselor | 8500 S Ten Mile Rd, Marysvale, UT 84750 | 2010-08-16 |
| 1235430497 | Ryan Swalberg | Counselor | 8500 S Ten Mile Rd, Marysvale, UT 84750-0040 | 2010-11-04 |
| Taxonomy Code | 253J00000X |
| Grouping | Agencies |
| Classification | Foster Care Agency |
| A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as "24-hour substitute care for children outside their own homes." Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes. |
| Notes: Source: Code Of Federal Regulations, Title 45, Volume 4, Part 1355, Section 57 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558670612 | Piute Youth Development Center | Foster Care Agency | 8510 South Ten Mile Road, Marysvale, UT 84750 | 2010-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154852507 | Wade Thomson | Foster Care Agency | 1363 S State St Ste 140, Salt Lake City, UT 84115-5540 | 2017-03-27 |
| 1922492057 | Live for Life Cypress | Foster Care Agency | 3023 N Bronzewood Cir, Erda, UT 84074-3302 | 2015-03-26 |
| 1609274158 | Kt&t Venures | Foster Care Agency | 1140 36th St Ste 160, Ogden, UT 84403-2054 | 2014-12-16 |
| 1396157350 | Brittany Lee Coleman | Foster Care Agency | 3900 S 200 E, Suite 16, Salt Lake City, UT 84107 | 2014-05-27 |
| 1225449630 | Youthtrack, Inc | Foster Care Agency | 862 S Main Suite 4, Brigham City, UT 84302 | 2014-05-20 |
| 1093130130 | Brenda Tekell | Foster Care Agency | 862 S Main St Ste 201, Brigham City, UT 84302-3320 | 2014-02-26 |
| 1619399144 | Journey Counseling Center Salt Lake LLC | Foster Care Agency | 920 Columbia Ln, Provo, UT 84604-1320 | 2014-01-17 |
| 1568883387 | Strengthening Teens, LLC | Foster Care Agency | 165 N 1330 W Ste A1, Orem, UT 84057-5116 | 2013-12-20 |
| 1285065854 | Terie Wiederhold | Foster Care Agency | 704 N Sr 51, Spanish Fork, UT 84660-1385 | 2013-12-09 |
| 1164857892 | Journey Counseling Center Sanpete LLC | Foster Care Agency | 41 W 700 S, Ephraim, UT 84627-1524 | 2013-09-12 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MANDI MOLCHAN.
| 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.