ACQUA RECOVERY LLC (NPI# 1932595899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932595899 |
| Entity Type | Organization |
| Organization Name | ACQUA RECOVERY LLC |
| Practice Address |
100 N Johnson Mill Rd Midway UT 84049-6764 |
| Mailing Address |
1031 S Douglas St Salt Lake City UT 84105-1505 |
| Practice Telephone | 9546780078 |
| Enumeration Date | 2015-04-07 |
| Last Update Date | 2015-04-07 |
| Authorized Official Name | MR. CLINT TOLMAN (DIRECTOR) |
| Authorized Official Telephone | 9546780078 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
13415 | UT | Ambulatory Health Care Facilities |
| N | 324500000X | Substance Abuse Rehabilitation Facility | 10218 | UT | Residential Treatment Facilities |
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
13414 | UT | Ambulatory Health Care Facilities |
| Street Address |
100 N JOHNSON MILL RD |
| City | MIDWAY |
| State | UT |
| Zip Code | 84049-6764 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023204427 | Gloria E Anderson | Counselor | 100 N Johnson Mill Rd, Midway, UT 84049-6764 | 2007-09-19 |
| 1427580448 | Acqua Medical LLC | Psychiatry & Neurology | 100 N Johnson Mill Rd, Midway, UT 84049-6764 | 2017-03-29 |
| 1033373865 | Terrell Lee Sellers | Family Medicine | 100 N Johnson Mill Rd, Midway, UT 84049-6764 | 2008-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336751965 | Kordine D Steinke | Community Health Worker | 1458 Oak Ln, Midway, UT 84049 | 2020-08-17 |
| 1003430133 | Cascade Academy | Residential Treatment Facility, Emotionally Disturbed Children | 430 W 200 N, Midway, UT 84049 | 2020-06-04 |
| 1386017945 | Sabina Jolanta Boies | Physical Therapy Assistant | 1420 W Geneva Dr, Midway, UT 84049 | 2015-11-04 |
| 1386953578 | Henry A. Malus | Naturopath | 210 E. Main St., # 101, Midway, UT 84049 | 2010-10-05 |
| 1407187362 | Jack L Brauer | Dentist | 450 Bern Way, Midway, UT 84049 | 2010-01-15 |
| 1912152299 | Alpine Treatment Services, LLC | Substance Abuse Rehabilitation Facility | 375 Rainbow Lane, Midway, UT 84049 | 2008-11-30 |
| 1235152323 | Gary A Hafer | Specialist | 529 West 200 North, Midway, UT 84049 | 2006-07-26 |
| 1588274013 | Jack L Cox | Family Medicine | 1588 N Dutch Meadows Ln, Midway, UT 84049-1275 | 2020-08-10 |
| 1174853485 | Gerald L Hayward | Family Medicine | 909 Kohler Ln, Midway, UT 84049-6001 | 2010-01-08 |
| 1427486976 | Ridley's Family Markets, Inc | Pharmacy | 42 W Main St, Midway, UT 84049-6313 | 2013-10-18 |
| Find all providers in zip 84049 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255943569 | Skull Valley Health Care | Clinic/Center | 1929 N Aaron Dr, Tooele, UT 84074-8112 | 2020-08-18 |
| 1003427923 | Painted Desert Recovery LLC | Clinic/Center | 1947 S 2800 E, New Harmony, UT 84757-5115 | 2020-08-13 |
| 1437780673 | Beecon Recovery | Clinic/Center | 60 S Main St Ste B0001, Brigham City, UT 84302-6795 | 2020-01-27 |
| 1124666870 | One Voice Recovery | Clinic/Center | 1400 S 1100 E, Salt Lake City, UT 84105-2435 | 2019-12-12 |
| 1992343834 | Avante Recovery Center, LLC | Clinic/Center | 848 E 1475 N, Lehi, UT 84043-3568 | 2019-12-11 |
| 1467912139 | Infinite Arches LLC | Clinic/Center | 136 25th St, Ogden, UT 84401-1302 | 2019-03-20 |
| 1669952958 | Utah Harm Reduction Coalition | Clinic/Center | 91 E 7200 S, Midvale, UT 84047-1531 | 2018-08-16 |
| 1871016840 | Breakaway Recovery Center Murray, LLC | Clinic/Center | 5296 S Commerce Dr Ste 204, Murray, UT 84107-5393 | 2017-07-21 |
| 1528580180 | Brighton House LLC | Clinic/Center | 2945 E Robidoux Rd, Sandy, UT 84093-1128 | 2017-07-14 |
| 1316392897 | Nuway Recovery, LLC | Clinic/Center | 4925 S 900 E, Salt Lake City, UT 84117-5784 | 2016-05-03 |
| Find all providers with the same taxonomy | ||||
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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.