Evolution Academy Of Utah Llc in Salt Lake City - Psychiatric Residential Treatment Facility
Evolution Academy Of Utah Llc - NPI 1558432849
Evolution Academy Of Utah Llc is a Psychiatric Residential Treatment Facility in Salt Lake City, Utah. Evolution Academy Of Utah Llc practices all healthcare services and medical treatments related to Psychiatric Residential Treatment Facility. The NPI Number for Evolution Academy Of Utah Llc is 1558432849. The last update date is 2020-08-22.
Evolution Academy Of Utah Llc's current location address is 1144 W 3300 S, Salt Lake City, Utah. You can contact this provider via phone number 8014332900 and fax number 8014332999. The mailing address for Evolution Academy Of Utah Llc is 1144 W 3300 S, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Evolution Academy Of Utah Llc |
|---|---|
| Address | 1144 W 3300 S, Salt Lake City, Utah |
| Phone Number | 8014332900 |
| Fax Number | 8014332999 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | C.E.O. |
|---|---|
| Authorized Official Name | Bailey James |
| Telephone Number | 8014332900 |
NPI Number Detail
| NPI Number | 1558432849 |
|---|---|
| Provider Enumeration Date | 2006-11-10 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1144 W 3300 S |
|---|---|
| City | Salt Lake City |
| State | Utah (UT) |
| Post Code | 841197175 |
| Phone Number | 8014332900 |
| Fax Number | 8014332999 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatric Residential Treatment Facility |
|---|---|
| Taxonomy | 323P00000X |
| Licence No | 11353 |
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Definition: 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 ps |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5168120 | SD | -- | |
| 4103783 | MT | -- | |
| HS339PI | AK | -- | |
| 3810005990 | WV | -- | |
| 4766 | VA | -- | |
| 55880347 | NM | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Evolution Academy Of Utah Llc by the Centers for Medicare & Medicaid Services?
The Evolution Academy Of Utah Llc has been assigned the NPI (National Provider Identifier) 1558432849 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Evolution Academy Of Utah Llc?
The Evolution Academy Of Utah Llc is situated at 1144 W 3300 S, in the city of Salt Lake City, state of UT, with the zip code 841197175.
What is Evolution Academy Of Utah Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Evolution Academy Of Utah Llc's specialized field of practice is Psychiatric Residential Treatment Facility, and the corresponding taxonomy code that categorizes this area of specialization is 323P00000X.
On what date was the 1558432849 assigned to Evolution Academy Of Utah Llc?
The Evolution Academy Of Utah Llc was issued its 1558432849 on 2006-11-10, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Evolution Academy Of Utah Llc's details last updated?
The information pertaining to the Evolution Academy Of Utah Llc, including its address, specialty, and other details, was most recently updated on 2020-08-22.