MULBERRY HOLLOW COMMUNITY SERVICES (NPI# 1235481763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235481763 |
| Entity Type | Organization |
| Organization Name | MULBERRY HOLLOW COMMUNITY SERVICES |
| Practice Address |
2885 E Cherry Blossom Ln Holladay UT 84117-4607 |
| Practice Telephone | 8016718407 |
| Mailing Telephone | 8016718407 |
| Enumeration Date | 2012-10-08 |
| Last Update Date | 2012-10-08 |
| Authorized Official Name | EVERT THEODORE PIERCE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8016718407 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251X00000X | Supports Brokerage | UT | Agencies |
| Street Address |
2885 E CHERRY BLOSSOM LN |
| City | HOLLADAY |
| State | UT |
| Zip Code | 84117-4607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942552476 | Evert Theodore Pierce | Contractor | 2885 E Cherry Blossom Ln, Holladay, UT 84117-4607 | 2012-10-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063052256 | Abundant Dental Care, P.C. | Dentist | 1548 E 4500 S #104, Holladay, UT 84117 | 2020-01-15 |
| 1578127221 | Signature Utah Dental Partners PC | Clinic/Center | 2240 E Murray Holladay Rd, Holladay, UT 84117 | 2019-04-29 |
| 1700392974 | Marette Monson, LLC | Community/Behavioral Health | 2180 East 4500 South, Suite 105, Holladay City, UT 84117 | 2017-12-23 |
| 1942714639 | Harmon City Inc | Pharmacy | 4675 South Holladay Blvd, Holladay, UT 84117 | 2017-11-17 |
| 1881119444 | Brianna Stewart | Physical Medicine & Rehabilitation | 5151 South 900 East, Suite 100, Salt Lake City, UT 84117 | 2017-08-04 |
| 1861842874 | Whitney Aste | Dentist | 1548 E 4500 S Ste 104, Salt Lake City, UT 84117 | 2016-06-21 |
| 1922403765 | Tri-peak, Pllc | Psychologist | 4535 S 2300 E, Suite B, Salt Lake City, UT 84117 | 2014-10-22 |
| 1356689566 | Mckenzie Vierig | Marriage & Family Therapist | 4568 S Highland Dr Ste 380, Millcreek, UT 84117 | 2013-01-22 |
| 1821348640 | Fabiola Marquez Jamieson | Social Worker | 4500 S 2180 E, Suite 165, Holladay, UT 84117 | 2012-09-19 |
| 1073882882 | Amy Rose White | Social Worker | 4500 South 2180 East, Suite 165, Holladay, UT 84117 | 2011-12-22 |
| Find all providers in zip 84117 | ||||
| Taxonomy Code | 251X00000X |
| Grouping | Agencies |
| Classification | Supports Brokerage |
| A provider of service/function that assists participating individuals to make informed decisions about what will work best for them is consistent with their needs and reflects their individual circumstances. Serving as the agent of the individual, the service is available to assist in identifying immediate and long-term needs, developing options to meet those needs and accessing identified supports and services and may include assistance with recruiting, screening, hiring, and training in-home support providers. A family or person-centered planning approach is used. Supports Brokerage offers practical skills training to enable families and individuals to remain independent. Examples of skills training include providing information on recruiting and hiring personal care workers, managing personal care workers and providing information on effective communication and problem solving. The service/function provides sufficient information to assure that individuals understand the responsibilities involved with self-direction and assist in the development of an effective back-up and emergency plan. Plans may elect to fulfill the requirement of this service/function using a self-directed case manager or creating a distinct service. The Supports Brokerage documents the need for assistive services, planning for and documenting the use of excess funds and locating and maintaining services. |
| Notes: Source: CMS Independence Plus Waiver template. [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699219543 | Goodwill Benefits Group, LLC | Supports Brokerage | 10180 S Wasatch Blvd, Sandy, UT 84092-4575 | 2016-12-12 |
| 1942637749 | Yardley Insurance Agency Inc | Supports Brokerage | 609 North Main Street, #1, Panguitch, UT 84759 | 2013-10-11 |
| 1992058028 | Gcs Foundation | Supports Brokerage | 716 East 4500 South, Suite N160, Murray, UT 84107 | 2012-10-26 |
| 1295946499 | Carepoint Network Inc | Supports Brokerage | 425 E 5350 S, Ste 235, Ogden, UT 84405-6946 | 2007-05-28 |
| 1376678268 | Preston Family Chiropractic | Supports Brokerage | 745 Washington Blvd, Ogden, UT 84404-4953 | 2007-02-22 |
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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.