SOUTH POINTE YOUTH (NPI# 1245663947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245663947 |
| Entity Type | Organization |
| Organization Name | SOUTH POINTE YOUTH |
| Practice Address |
1500 South 580 West Manti UT 84642-0314 |
| Practice Telephone | 4358516821 |
| Enumeration Date | 2013-08-16 |
| Last Update Date | 2013-08-16 |
| Authorized Official Name | MR. PAUL BAILEY (OWNER) |
| Authorized Official Telephone | 4358516821 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | Residential Treatment Facilities |
| Street Address |
1500 SOUTH 580 WEST |
| City | MANTI |
| State | UT |
| Zip Code | 84642-0314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528668050 | Corbin Linam | Community Health Worker | 920n 000w, Manti, UT 84642 | 2020-10-26 |
| 1033690201 | Koleton Michael Moon | Community Health Worker | 920 N. 000 W., Manti, UT 84642 | 2018-08-27 |
| 1588916043 | Nicholas Evan Tibbs | Counselor | 920 North Centerline Dr., Manti, UT 84642 | 2012-10-09 |
| 1346545936 | James R Cheney | Social Worker | 920 North 0000 East/west, Manti, UT 84642 | 2011-01-13 |
| 1407157126 | Anchor Stone Youth, Inc. | Foster Care Agency | 920 North 0000 E/w, Manti, UT 84642 | 2010-11-11 |
| 1942415666 | Utah Preparatory Academy | Residential Treatment Facility, Emotionally Disturbed Children | 920 North 0000 East-west, Manti, UT 84642 | 2007-05-14 |
| 1124230115 | Michael D Jensen | Social Worker | 50 South Main, # 25, Manti, UT 84642 | 2007-05-04 |
| 1568553089 | Manti Ambulance Association | Ambulance | 33 W 200 N, Manti, UT 84642 | 2006-09-28 |
| 1154663334 | Lauren Linn Miller | Nurse Practitioner | 45 North Main Street, Manti, UT 84642 | 2013-03-26 |
| 1043515638 | Annie Johnson | Counselor | 920 North 0000 E/w, Manti, UT 84642 | 2011-01-13 |
| Find all providers in zip 84642 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265632939 | Blue Sage Youth Services | Residential Treatment Facility, Emotionally Disturbed Children | 580 West 1500 South, Manti, UT 84648 | 2007-07-20 |
| 1942415666 | Utah Preparatory Academy | Residential Treatment Facility, Emotionally Disturbed Children | 920 North 0000 East-west, Manti, UT 84642 | 2007-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013167 | Elevated Youth Services | Residential Treatment Facility, Emotionally Disturbed Children | 10928 S Eureka Dune Dr, South Jordan, UT 84009-4173 | 2020-11-04 |
| 1003430133 | Cascade Academy | Residential Treatment Facility, Emotionally Disturbed Children | 430 W 200 N, Midway, UT 84049 | 2020-06-04 |
| 1659900835 | Change Academy At Lake of The Ozarks | Residential Treatment Facility, Emotionally Disturbed Children | 266 South Left Fork Hobble Creek Canyon Road, Springville, UT 84663 | 2020-04-08 |
| 1083107320 | Red Circle Lodge, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 930 N Memorial St, Hildale, UT 84784 | 2018-06-12 |
| 1023560679 | Meridian Mentoring | Residential Treatment Facility, Emotionally Disturbed Children | 635 South Main St., Orangeville, UT 84537 | 2016-10-31 |
| 1720456981 | Gateway Academy, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 941 E Cattail Dr, Draper, UT 84020-8583 | 2015-09-04 |
| 1033592290 | Keystone Family Support, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 2558 Valley View Dr, Layton, UT 84040-7654 | 2015-07-07 |
| 1285033977 | Utah Family Care LLC | Residential Treatment Facility, Emotionally Disturbed Children | 3575 S 3200 W Apt 6c, West Valley City, UT 84119-3571 | 2014-08-19 |
| 1982011649 | Teen Discovery Home | Residential Treatment Facility, Emotionally Disturbed Children | 10 East 100 South, Gunnison, UT 84634 | 2014-07-15 |
| 1508207630 | Discovery Ranch for Girls | Residential Treatment Facility, Emotionally Disturbed Children | 4928 N 4500 W, Cedar City, UT 84721-5632 | 2013-07-17 |
| Find all providers with the same taxonomy | ||||
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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.