RISING SUMMITS


Address: 11293 S Morning Tide Ln, South Jordan, UT 84009-5022
Phone: 8018980842

RISING SUMMITS (NPI# 1033744776) 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) 1033744776
Entity Type Organization
Organization Name RISING SUMMITS
Practice Address 11293 S Morning Tide Ln
South Jordan
UT 84009-5022
Mailing Address 5526 W 13400 S # 331
Herriman
UT 84096-6919
Practice Telephone 8018980842
Mailing Telephone 8018980842
Enumeration Date 2020-03-03
Last Update Date 2020-03-03
Authorized Official Name EMILY DIANA CAPITO (OWNER)
Authorized Official Telephone 8018980842
Authorized Official Credential LCSW
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Em Capito, LCSW Other Name - Individual/Organization

Office Location

Street Address 11293 S MORNING TIDE LN
City SOUTH JORDAN
State UT
Zip Code 84009-5022

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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

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Competitor

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City SOUTH JORDAN
Zip Code 84009

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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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