ELEVATED YOUTH SERVICES


Address: 10928 S Eureka Dune Dr, South Jordan, UT 84009-4173
Phone: 8015084756

ELEVATED YOUTH SERVICES (NPI# 1063013167) 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) 1063013167
Entity Type Organization
Organization Name ELEVATED YOUTH SERVICES
Practice Address 10928 S Eureka Dune Dr
South Jordan
UT 84009-4173
Practice Telephone 8015084756
Mailing Telephone 8019075622
Enumeration Date 2020-11-04
Last Update Date 2020-11-04
Authorized Official Name NICHOLAS B BROWNING (OWNER)
Authorized Official Telephone 8019075622
Authorized Official Credential LCSW
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 322D00000X Residential Treatment Facility, Emotionally Disturbed Children Residential Treatment Facilities

Other Provider/Organization Names

Other Name Type Code
Elevated Doing Business As Name - Organization

Office Location

Street Address 10928 S EUREKA DUNE DR
City SOUTH JORDAN
State UT
Zip Code 84009-4173

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Taxonomy Information

Taxonomy Code 322D00000X
Grouping Residential Treatment Facilities
Classification Residential Treatment Facility, Emotionally Disturbed Children

Taxonomy Definition

A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment.
Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6.

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NPI Name Taxonomy Address Enumeration
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1083107320 Red Circle Lodge, Inc Residential Treatment Facility, Emotionally Disturbed Children 930 N Memorial St, Hildale, UT 84784 2018-06-12
1023560679 Meridian Mentoring Residential Treatment Facility, Emotionally Disturbed Children 635 South Main St., Orangeville, UT 84537 2016-10-31
1720456981 Gateway Academy, LLC Residential Treatment Facility, Emotionally Disturbed Children 941 E Cattail Dr, Draper, UT 84020-8583 2015-09-04
1033592290 Keystone Family Support, Inc. Residential Treatment Facility, Emotionally Disturbed Children 2558 Valley View Dr, Layton, UT 84040-7654 2015-07-07
1285033977 Utah Family Care LLC Residential Treatment Facility, Emotionally Disturbed Children 3575 S 3200 W Apt 6c, West Valley City, UT 84119-3571 2014-08-19
1982011649 Teen Discovery Home Residential Treatment Facility, Emotionally Disturbed Children 10 East 100 South, Gunnison, UT 84634 2014-07-15
1245663947 South Pointe Youth Residential Treatment Facility, Emotionally Disturbed Children 1500 South 580 West, Manti, UT 84642-0314 2013-08-16
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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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