RHA COMMUNITY SERVICES OF UTAH (NPI# 1245230820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245230820 |
| Entity Type | Organization |
| Organization Name | RHA COMMUNITY SERVICES OF UTAH |
| Other Organization Name | BUNGALOW CARE CENTER |
| Practice Address |
645 S 1300 E Salt Lake City UT 84102-3206 |
| Practice Telephone | 8015821457 |
| Practice Fax Number | 8015823901 |
| Mailing Telephone | 8015821457 |
| Mailing Fax Number | 8015823901 |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JACKLYNN IVY HUGHES (ADMINISTRATOR) |
| Authorized Official Telephone | 8015828097 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | 2004-NCF-22 | UT | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Bungalow Care Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396745378 | Rha Community Services of Utah | Intermediate Care Facility, Mentally Retarded | 642 University St, Salt Lake City, UT 84102-3213 | 2005-07-29 |
| 1265431498 | Rha Community Services of Utah | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 680 N State St, Lindon, UT 84042-1323 | 2005-07-19 |
| 1033118674 | Rha Community Services of Utah | Intermediate Care Facility, Mentally Retarded | 340 N 100 W, Bountiful, UT 84010-6054 | 2005-07-15 |
| 1730188459 | Rha Community Services of Utah | Intermediate Care Facility, Mentally Retarded | 4028 S 4800 W, West Valley City, UT 84120-4537 | 2005-07-14 |
| Street Address |
645 S 1300 E |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84102-3206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063882710 | Rha Health Service Ut LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 645 S 1300 E, Salt Lake City, UT 84102 | 2015-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942818604 | Wendy Vazquez | Behavior Technician | 515 S 700 E Suit 2a, Salt Lake City, UT 84102 | 2020-07-20 |
| 1407481245 | Odyssey House Inc | Family Medicine | 743 E 300 S, Salt Lake City, UT 84102 | 2020-03-11 |
| 1093359960 | Hayle Mayer | Behavior Technician | 515 S 700 E Salt Lake City, Suite 2a, Salt Lake, UT 84102 | 2019-11-04 |
| 1326680869 | Ronald Mcdonald House of The Intermountain Area | Meals | 935 E. South Temple, Salt Lake City, UT 84102 | 2019-10-16 |
| 1508419581 | Claire Pemberton | Behavior Technician | 327 E 1300 S, Apt 2, Salt Lake City, UT 84102 | 2019-07-19 |
| 1558923144 | Olivia Anne Hardwick | Social Worker | Transitions At Slrmc, 86 S. 1100 E. Suite 404, Salt Lake City, UT 84102 | 2019-07-03 |
| 1649741802 | Colten Vancampen | Behavior Technician | 515 S 700 E #2a, Salt Lake City, UT 84102 | 2018-12-16 |
| 1457847964 | Utah Podiatry Group PC | Podiatrist | 24 S 1100 E Ste 120, Salt Lake City, UT 84102 | 2018-07-09 |
| 1104311661 | Malorey Kooyman | Behavior Technician | 515 700 East, Suite 2a, Salt Lake City, UT 84102 | 2018-06-27 |
| 1700384930 | Utah Podiatry Group PC | Podiatrist | 82 S 1100 E Ste 301, Salt Lake City, UT 84102 | 2018-01-23 |
| Find all providers in zip 84102 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396745378 | Rha Community Services of Utah | Intermediate Care Facility, Mentally Retarded | 642 University St, Salt Lake City, UT 84102-3213 | 2005-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295267219 | Iron County Care Center LLC | Intermediate Care Facility, Mentally Retarded | 69 East 100 South, Parowan, UT 84761-0397 | 2017-03-29 |
| 1043518145 | Medallion Supported Living-payson | Intermediate Care Facility, Mentally Retarded | 2192 W State Rd, Payson, UT 84651-4539 | 2011-03-14 |
| 1538179981 | Medallion Supported Living | Intermediate Care Facility, Mentally Retarded | 651 E 200 S, Lehi, UT 84043-9703 | 2006-08-08 |
| 1720098163 | Medallion Manor Inc. | Intermediate Care Facility, Mentally Retarded | 1701 W 600 S, Provo, UT 84601-3832 | 2006-08-08 |
| 1841241445 | Trinity Mission Wide Horizons Residential Care Facility, Lp | Intermediate Care Facility, Mentally Retarded | 910 Monroe Blvd, Ogden, UT 84404-6434 | 2006-05-16 |
| 1457318917 | Mesa Vista Inc | Intermediate Care Facility, Mentally Retarded | 394 W 400 N, Orem, UT 84057-4663 | 2006-04-27 |
| 1871570374 | West Jordan Care Center | Intermediate Care Facility, Mentally Retarded | 3350 W 7800 S, West Jordan, UT 84088-4506 | 2005-12-27 |
| 1598764862 | Provo Care Center | Intermediate Care Facility, Mentally Retarded | 256 E Center St, Provo, UT 84606-3107 | 2005-07-19 |
| 1033118674 | Rha Community Services of Utah | Intermediate Care Facility, Mentally Retarded | 340 N 100 W, Bountiful, UT 84010-6054 | 2005-07-15 |
| 1477552099 | Hidden Hollow Care Center | Intermediate Care Facility, Mentally Retarded | 261 W 2000 S, Orem, UT 84058-7417 | 2005-07-15 |
| Find all providers with the same taxonomy | ||||
| City | SALT LAKE CITY |
| Zip Code | 84102 |
Please comment or provide details below to improve the information on RHA COMMUNITY SERVICES OF UTAH.
| 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.