ACCESS INDEPENDENCE (NPI# 1164967097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164967097 |
Entity Type | Organization |
Organization Name | ACCESS INDEPENDENCE |
Practice Address |
940 Highland Oaks Dr Bountiful UT 84010-3364 |
Practice Telephone | 8018667762 |
Enumeration Date | 2017-01-02 |
Last Update Date | 2017-01-02 |
Authorized Official Name | JAIME CHRISTENSEN (TRUSTEE) |
Authorized Official Telephone | 8018667762 |
Authorized Official Credential | EDD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 251S00000X | Community/Behavioral Health | 102037560140 | UT | Agencies |
Y | 251C00000X | Day Training, Developmentally Disabled Services | 102037560140 | UT | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
UT | 1164967097 | 05 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | ACCESS INDEPENDENCE | 300 Long Beach Blvd Ste 1, Stratford, CT 06615-7153 |
Virginia Business Entities | Access Independence Inc. | 324 Hope Dr, Winchester, Virginia 22601-6800 |
Street Address |
940 HIGHLAND OAKS DR |
City | BOUNTIFUL |
State | UT |
Zip Code | 84010-3364 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225699192 | Jessyca K Willie | Behavior Technician | 415 S. Medical Drive Suite D101, Bountiful, UT 84010 | 2019-06-21 |
1336634344 | Shanna Joy Jaggers | Social Worker | 2333 S 200 E, Bountiful, UT 84010 | 2018-06-22 |
1447773171 | Live Life Alarms | Emergency Response System Companies | 640 South 500 West, Bountiful, UT 84010 | 2017-07-25 |
1902328842 | Hailey Embley | Behavior Technician | 415 Medical Drive D 101, Bountiful, UT 84010 | 2017-07-12 |
1508318031 | Beverly Nielsen | Psychologist | 1001 Lakeview Drive, Bountiful, UT 84010 | 2016-11-01 |
1295287720 | Samantha Oslund | Speech-Language Pathologist | 415 Medical Dr Ste B102, Bountiful, UT 84010 | 2016-11-01 |
1750748273 | Jeremy Clark Morris | Dentist | 59 W 1600 N, Suite 110, Bountiful, UT 84010 | 2016-01-28 |
1629464706 | Shane James | Speech-Language Pathologist | 425 Medical Dr Ste 122, Bountiful, UT 84010 | 2015-04-15 |
1891186102 | Kenton Francis | Social Worker | 1355 North Main Street #1, Bountiful, UT 84010 | 2015-02-09 |
1205233855 | Modern Dental Professionals - Utah, PC | Dentist | 24 S. 500 West, #a, Bountiful, UT 84010 | 2014-11-25 |
Find all providers in zip 84010 |
Taxonomy Code | 251C00000X |
Grouping | Agencies |
Classification | Day Training, Developmentally Disabled Services |
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649820341 | Anderson Care Home | Day Training, Developmentally Disabled Services | 1295 N 1700 W, Farr West, UT 84404-3498 | 2019-09-13 |
1811223803 | Autism Behavior Treatment Center, LLC | Day Training, Developmentally Disabled Services | 12222 S 1000 E, Suite 3, Draper, UT 84020-8278 | 2009-10-26 |
1144412230 | Pryme Corp. | Day Training, Developmentally Disabled Services | 580 E South Weber Dr, South Weber, UT 84405-9206 | 2007-08-14 |
1093921223 | Utah Food Bank Services | Day Training, Developmentally Disabled Services | 1025 S 700 W, Salt Lake City, UT 84104-1504 | 2007-05-15 |
1104032317 | Valley Personnel Service Inc | Day Training, Developmentally Disabled Services | 1368 W 130 S, Orem, UT 84058-5136 | 2007-05-15 |
1003028499 | Alternative Living Solutions | Day Training, Developmentally Disabled Services | 2218 Kiwi Cir, Taylorsville, UT 84118-1770 | 2007-05-05 |
1629198767 | North Eastern Services | Day Training, Developmentally Disabled Services | 443 Commerce Rd, Orem, UT 84058-5898 | 2007-03-30 |
1881712263 | Enable Industries Incorporated | Day Training, Developmentally Disabled Services | 2640 Industrial Dr, Ogden, UT 84401-3206 | 2007-03-26 |
1356468342 | Davis School District | Day Training, Developmentally Disabled Services | 485 Parc Cir, Clearfield, UT 84015 | 2007-03-23 |
1962529222 | Work, Inc. | Day Training, Developmentally Disabled Services | 262 E 3900 S Ste 126, Salt Lake City, UT 84107-1550 | 2007-03-23 |
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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.