ASPIRO ADVENTURE LLC (NPI# 1295266559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295266559 |
Entity Type | Organization |
Organization Name | ASPIRO ADVENTURE LLC |
Practice Address |
695 W Wakara Ave Mt Pleasant UT 84647 |
Mailing Address |
63 E 11400 S #186 Sandy UT 84070 |
Practice Telephone | 8013492740 |
Mailing Telephone | 8013492740 |
Enumeration Date | 2017-03-27 |
Last Update Date | 2017-03-27 |
Authorized Official Name | KATIE THOMA (CFO) |
Authorized Official Telephone | 8017034480 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities | ||
Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | Residential Treatment Facilities |
Street Address |
695 W WAKARA AVE |
City | MT PLEASANT |
State | UT |
Zip Code | 84647 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073069340 | Sequel Youth Services of Mt. Pleasant | Community Based Residential Treatment Facility, Mental Illness | 1100 South 70 West, Mt. Pleasant, UT 84647 | 2016-08-28 |
1780056655 | Linda Dimmick | Registered Nurse | 265 North State Street, Mount Pleasant, UT 84647 | 2015-10-30 |
1417201419 | Timothy Roger Stevens | Physician Assistant | 1075 S Hwy 89, Mt Pleasant, UT 84647 | 2012-10-30 |
1477819878 | Mt Pleasant Campus | Substance Abuse Rehabilitation Facility | 1170 South 70 West, Mt. Pleasant, UT 84647 | 2012-04-10 |
1700946589 | Jan Christer Jonson | Physician Assistant | 1125 Blackhawk Blvd, Central Utah Clinic Family Medicine, Mt Pleasant, UT 84647 | 2006-12-11 |
1154411601 | Abc Enterprises I, LLC | Pharmacy | 1050 South Medical Drive Suite B, Mt. Pleasant, UT 84647 | 2006-10-13 |
1518908110 | Allen M Day | Family Medicine | 1075 S Highway 89, Mt Pleasant, UT 84647 | 2006-06-08 |
1396790465 | Steve Houston Meek | Nurse Anesthetist, Certified Registered | 1100 South Medical Dr, Mt Pleasant, UT 84647 | 2006-05-24 |
1770823361 | Eric Randall Jones | Obstetrics & Gynecology | 1100 S Medical Dr, Mount Pleasant, UT 84647 | 2013-02-19 |
1962746453 | Cristofer N Urlaub | Counselor | 18750 N 6750 E, Mt Pleasant, UT 84647 | 2012-11-21 |
Find all providers in zip 84647 |
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 |
---|---|---|---|---|
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 |
1245663947 | South Pointe Youth | Residential Treatment Facility, Emotionally Disturbed Children | 1500 South 580 West, Manti, UT 84642-0314 | 2013-08-16 |
Find all providers with the same taxonomy |
City | MT PLEASANT |
Zip Code | 84647 |
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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.