PAINTED DESERT RECOVERY LLC (NPI# 1003427923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003427923 |
| Entity Type | Organization |
| Organization Name | PAINTED DESERT RECOVERY LLC |
| Practice Address |
1947 S 2800 E New Harmony UT 84757-5115 |
| Mailing Address |
461 N 2300 West Cir Saint George UT 84770-7374 |
| Practice Telephone | 4352722193 |
| Mailing Telephone | 4352722193 |
| Enumeration Date | 2020-08-13 |
| Last Update Date | 2020-08-13 |
| Authorized Official Name | TREVOR TERRY (OWNER) |
| Authorized Official Telephone | 4352722193 |
| Authorized Official Credential | JD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| Street Address |
1947 S 2800 E |
| City | NEW HARMONY |
| State | UT |
| Zip Code | 84757-5115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881805760 | Jalane Christian-stoker | Marriage & Family Therapist | 1061 S 500 E, New Harmony, UT 84757 | 2007-05-24 |
| 1366574568 | Kolob Canyon | Psychiatric Residential Treatment Facility | 1338 East 600 South, New Harmony, UT 84757 | 2007-03-12 |
| 1609015155 | Triumph Youth Ranch | Residential Treatment Facility, Emotionally Disturbed Children | 1338 East 600 South, New Harmony, UT 84757-0531 | 2009-02-06 |
| 1609419308 | Darlene Marina Dukes | Counselor | 578 S 3430 E, New Harmony, UT 84757-5018 | 2019-10-25 |
| 1811073968 | Bradley Alan Halverson | Dentist | 1933 S Chekshani Clf, New Harmony, UT 84757-5136 | 2006-10-31 |
| 1376745752 | Becky Sue Moore | Dentist | 1933 S Chekshani Clf, New Harmony, UT 84757-5136 | 2007-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609419308 | Darlene Marina Dukes | Counselor | 578 S 3430 E, New Harmony, UT 84757-5018 | 2019-10-25 |
| 1821462870 | Jenna Spahn | Physical Therapist | 251 In-66, New Harmony, IN 47631 | 2015-11-13 |
| 1174937569 | Kelsey James | Occupational Therapy Assistant | 251 Indiana Hwy 66, New Harmony, IN 47631 | 2014-06-13 |
| 1588812424 | Krysti Michelle Rudisill | Occupational Therapy Assistant | 600 Acorn Ln, New Harmony, IN 47631-9727 | 2008-09-04 |
| 1386890580 | Savannah Gean Axley | Physical Therapy Assistant | 251 State Road 66, New Harmony, IN 47631 | 2008-08-07 |
| 1881805760 | Jalane Christian-stoker | Marriage & Family Therapist | 1061 S 500 E, New Harmony, UT 84757 | 2007-05-24 |
| 1366574568 | Kolob Canyon | Psychiatric Residential Treatment Facility | 1338 East 600 South, New Harmony, UT 84757 | 2007-03-12 |
| 1811073968 | Bradley Alan Halverson | Dentist | 1933 S Chekshani Clf, New Harmony, UT 84757-5136 | 2006-10-31 |
| 1346345790 | Christopher L. Kissel | Pharmacist | 511 Main Street, New Harmony, IN 47631-0135 | 2006-09-13 |
| 1578502936 | Daviess County Hospital | Skilled Nursing Facility | 251 Highway 66, New Harmony, IN 47631-9075 | 2006-06-04 |
| Find all providers in NEW HARMONY | ||||
| 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 |
| 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 |
| 1578917787 | Deer Hollow Outpatient Services, LLC | Clinic/Center | 12608 S 125 W Ste E, Draper, UT 84020-8437 | 2016-04-14 |
| Find all providers with the same taxonomy | ||||
| City | NEW HARMONY |
| Zip Code | 84757 |
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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.