CHATEAU BRICKYARD, INC. (NPI# 1164635827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164635827 |
| Entity Type | Organization |
| Organization Name | CHATEAU BRICKYARD, INC. |
| Other Organization Name | LE CHATEAU AT BRICKYARD PLAZA |
| Practice Address |
3080 S 1300 E Salt Lake City UT 84106-3000 |
| Practice Telephone | 8014669999 |
| Practice Fax Number | 8014667650 |
| Mailing Telephone | 8014669999 |
| Mailing Fax Number | 8014667650 |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. KEVIN G TAYLOR (SECRETARY) |
| Authorized Official Telephone | 8019771141 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320700000X | Residential Treatment Facility, Physical Disabilities | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Le Chateau at Brickyard Plaza | Doing Business As Name - Organization |
| Street Address |
3080 S 1300 E |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84106-3000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801400015 | Tyra Mae Vance | Counselor | 3375 S 880 E, Salt Lake City, UT 84106 | 2020-09-04 |
| 1316596554 | Adam Davies | Pharmacist | 1280 E Stringham Ave., Salt Lake City, UT 84106 | 2019-09-10 |
| 1558919142 | University of Utah | Pharmacy | 1280 E. Stringham Ave, Suite 101, Salt Lake City, UT 84106 | 2019-08-28 |
| 1588174064 | Aaron Potts | Naturopath | 1945 1100 E, #100, Salt Lake City, UT 84106 | 2017-10-10 |
| 1801335005 | Gretchen Dennison | Nurse Practitioner | 2138 S Highland Dr, Salt Lake City, UT 84106 | 2017-02-21 |
| 1376095794 | Jeannette Daneals | Naturopath | 1945 South 1100 East, Suite 100, Salt Lake City, UT 84106 | 2016-11-02 |
| 1073908703 | Tracey Steinmetz | Massage Therapist | 3300 South 970 East, Suite 7, Salt Lake City, UT 84106 | 2015-03-31 |
| 1275949091 | Amy Deforest Edwards | Counselor | Jewish Family Service, 1111 E Brickyard Rd, Suite 218, Slc, UT 84106 | 2014-07-02 |
| 1194138636 | Hillary Lowe Taggart | Nurse Practitioner | 3369 S Highland Dr, Salt Lake City, UT 84106 | 2014-06-03 |
| 1487086617 | Herald R. Clark, Dds | Dentist | 3643 S. Highland Drive, Salt Lake City, UT 84106 | 2013-07-30 |
| Find all providers in zip 84106 | ||||
| Taxonomy Code | 320700000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Physical Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013070028 | Cerebral Palsy of Utah | Residential Treatment Facility, Physical Disabilities | 3550 S 700 W, Salt Lake City, UT 84119-4120 | 2006-12-19 |
| 1316009228 | Valley Mental Health Incorporated | Residential Treatment Facility, Physical Disabilities | 4125 S 900 E, Salt Lake City, UT 84124-1112 | 2006-12-15 |
| 1053472340 | Valley Mental Health Incorporated | Residential Treatment Facility, Physical Disabilities | 1228 S 900 E, Salt Lake City, UT 84105-1326 | 2006-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386034957 | Tarrince LLC | Residential Treatment Facility, Physical Disabilities | 10704 S Trailridge Cir, Sandy, UT 84092-4758 | 2015-02-03 |
| City | SALT LAKE CITY |
| Zip Code | 84106 |
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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.