WHITE SAGE RECOVERY, INC. (NPI# 1124593108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124593108 |
Entity Type | Organization |
Organization Name | WHITE SAGE RECOVERY, INC. |
Practice Address |
533 W Center St Pleasant Grove UT 84062-2215 |
Practice Telephone | 8018992460 |
Practice Fax Number | 8018992459 |
Mailing Telephone | 8018992460 |
Mailing Fax Number | 8018992459 |
Enumeration Date | 2018-10-05 |
Last Update Date | 2018-10-05 |
Authorized Official Name | CATHERINE COLLINS (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 8018856341 |
Authorized Official Credential | APRN |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
Street Address |
533 W CENTER ST |
City | PLEASANT GROVE |
State | UT |
Zip Code | 84062-2215 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467934406 | Welcome Home Assisted Living of American Fork | Assisted Living Facility | 1889 W 930 N, Pleasant Grove, UT 84062 | 2018-09-06 |
1497243414 | Doterra Employee Health Systems, LLC | Family Medicine | 1364 Pleasant Grove Blvd., Floor 3, Pleasant Grove, UT 84062 | 2018-04-25 |
1720588080 | Us Sports Medicine, LLC | Clinic/Center | 1982 W. Pleasant Grove Blvd, Suite L, Pleasant Grove, UT 84062 | 2018-02-13 |
1235669011 | Rapid Reboot Recovery Products LLC | Durable Medical Equipment & Medical Supplies | 1262 W 3150 N, Pleasant Grove, UT 84062 | 2017-06-14 |
1497126486 | Trumobility Inc. | Durable Medical Equipment & Medical Supplies | 272 S 671 W, Pleasant Grove, UT 84062 | 2015-10-15 |
1295146272 | North County Medical | Chiropractor | 1988 West 930 North Suite Number A, Pleasant Grove, UT 84062 | 2014-05-13 |
1861814493 | Trent Edwards | Case Manager/Care Coordinator | 365 West 1420 North, Pleasant Grove, UT 84062 | 2014-01-16 |
1013342690 | Michael M. Haderlie | Psychologist | 233 S. Pleasant Grove Blvd, Suite 203, Pleasant Grove, UT 84062 | 2013-09-13 |
1194157123 | Brianna Lastre | Nurse Practitioner | 1446 W Pleasant Grove Blvd., Pleasant Grove, UT 84062 | 2013-08-01 |
1356619266 | Melinda Buchanan-emery | Marriage & Family Therapist | 459 East 1000 South, Pleasant Grove, UT 84062 | 2011-12-06 |
Find all providers in zip 84062 |
Taxonomy Code | 324500000X |
Grouping | Residential Treatment Facilities |
Classification | Substance Abuse Rehabilitation Facility |
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
Notes: [7/1/2003: modified title, modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730456963 | Willow Tree Recovery, LLC | Substance Abuse Rehabilitation Facility | 145 S 1300 W, Pleasant Grove, UT 84062-3580 | 2011-11-16 |
NPI | Name | Taxonomy | Address | Enumeration |
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1063013886 | Brc Wellness LLC | Substance Abuse Rehabilitation Facility | 4911 S 900 E Ste B, Salt Lake City, UT 84117-5747 | 2020-11-06 |
1891307104 | Steps Recovery Center | Substance Abuse Rehabilitation Facility | 345 E 4500 S # 100-140, Murray, UT 84107-3991 | 2020-08-18 |
1104460666 | Active Recovery, LLC | Substance Abuse Rehabilitation Facility | 25 S Main St # 212, Centerville, UT 84014-1840 | 2019-10-28 |
1437709441 | Insight Recovery Cedar City, LLC | Substance Abuse Rehabilitation Facility | 1050 W Old Highway 91, Parowan, UT 84761-7725 | 2019-09-12 |
1316506470 | Evnsq, LLC | Substance Abuse Rehabilitation Facility | 5162 S Highland Dr, Holladay, UT 84117-7048 | 2019-06-11 |
1114584356 | Juniper Canyon Recovery Center for Women, LLC | Substance Abuse Rehabilitation Facility | 520 North Aspen Road, Loa, UT 84747-8474 | 2019-05-23 |
1750948030 | Liberty Addiction Recovery Centers LLC | Substance Abuse Rehabilitation Facility | 10458 N 6570 W, Highland, UT 84003-9311 | 2019-05-22 |
1235793290 | Mountain Valley Recovery LLC | Substance Abuse Rehabilitation Facility | 9431 N 400 W, Holden, UT 84636 | 2019-04-25 |
1346803525 | Brookstone Foundation | Substance Abuse Rehabilitation Facility | 198 N 100 E # 198n100e, St George, UT 84770-2831 | 2019-04-15 |
1639649684 | Sterling Recovery | Substance Abuse Rehabilitation Facility | 525 W 465 N Ste 130, Providence, UT 84332-5604 | 2018-12-03 |
Find all providers with the same taxonomy |
City | PLEASANT GROVE |
Zip Code | 84062 |
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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.