UTAH STATE UNIVERSITY, CENTER FOR PERSONS WITH DISABILITIES (NPI# 1356373807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356373807 |
Entity Type | Organization |
Organization Name | UTAH STATE UNIVERSITY, CENTER FOR PERSONS WITH DISABILITIES |
Practice Address |
6810 Old Main Hl Logan UT 84322-0001 |
Practice Telephone | 4357977461 |
Mailing Telephone | 4357977461 |
Enumeration Date | 2006-07-07 |
Last Update Date | 2020-08-22 |
Authorized Official Name | SUSAN OLSEN (DIVISION DIRECTOR) |
Authorized Official Telephone | 4357977461 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
UT | 876000545680 | 05 |
Street Address |
6810 OLD MAIN HL |
City | LOGAN |
State | UT |
Zip Code | 84322-0001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447706007 | Conner Andrews | Physician Assistant | 7425 Old Main Hill, Logan, UT 84322 | 2016-09-01 |
1841743515 | Kali Leanne Markle | Audiologist | 2620 Old Main Hl, Logan, UT 84322 | 2016-07-29 |
1043670011 | Paul Bryan Beachem Iv | Specialist/Technologist | 7400 Old Main Hill, Dale Mildenberger Sports Medicine Complex, Logan, UT 84322 | 2016-03-03 |
1508387176 | Matthew Steven Buckner | Specialist/Technologist | 7400 Old Main Hl, Logan, UT 84322 | 2017-07-04 |
1386776730 | Utah State University | Psychologist | 2810 Old Main Hl, Logan, UT 84322 | 2007-03-12 |
1366971368 | Caleigh Goode | Specialist/Technologist | 7425 Old Main Hill Athletic Training Room, Logan, UT 84322-0001 | 2017-06-05 |
1639319775 | Vicki L. Simonsmeier | Speech-Language Pathologist | Department of Communicative Disorders, 1000 Old Main Hill, Logan, UT 84322-0001 | 2009-03-03 |
1730246299 | George Christopher Wootton | Nurse Practitioner | 6802 Old Main Hl, Utah State University, Logan, UT 84322-0001 | 2007-01-03 |
1801878095 | James Walter Davis | Emergency Medicine | 9100 Old Main Hill, 850 East 1200 North, Logan, UT 84322-0001 | 2005-11-15 |
1710592498 | Jacqueline Guymon | Speech-Language Pathologist | 6405 Old Main Hill, Logan, UT 84322-0001 | 2020-09-10 |
Find all providers in zip 84322 |
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 |
---|---|---|---|---|
1073128534 | Fairfield Community Supports | Day Training, Developmentally Disabled Services | 15663 State Route 595, Logan, OH 43138-8850 | 2020-09-11 |
1144370586 | Cache Employment and Training Center | Day Training, Developmentally Disabled Services | 275 W 400 S, Logan, UT 84321-5218 | 2007-01-10 |
1922436971 | The Employment Connection | Day Training, Developmentally Disabled Services | 1369 E Front St, Logan, OH 43138-9031 | 2013-10-29 |
1922371400 | Pride Community Services, Inc. | Day Training, Developmentally Disabled Services | 699 Stratton St, Logan, WV 25601-4020 | 2012-02-15 |
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.