INTELLEGIS, LLC (NPI# 1386995611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386995611 |
| Entity Type | Organization |
| Organization Name | INTELLEGIS, LLC |
| Practice Address |
333 E Clark St Murray UT 84107-4916 |
| Practice Telephone | 8012902706 |
| Enumeration Date | 2012-09-26 |
| Last Update Date | 2012-09-26 |
| Authorized Official Name | MRS. JANETTE THOMPSON (MANAGER) |
| Authorized Official Telephone | 8012902706 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 18983 | UT | Residential Treatment Facilities |
| Street Address |
333 E CLARK ST |
| City | MURRAY |
| State | UT |
| Zip Code | 84107-4916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410517 | Brielle Nicole Poulter | Student in an Organized Health Care Education/Training Program | 345 East 4500 So #260, Murray, UT 84107 | 2020-09-01 |
| 1467016592 | Ashlee Brown | Social Worker | C-134, 5284 Commerce Drive, Murray, Murray, UT 84107 | 2019-04-24 |
| 1568940633 | Samantha Duff | Occupational Therapist | 5770 S Fashion Blvd, Bldg 5 Ste 201, Murray, UT 84107 | 2018-08-01 |
| 1881185247 | Derek John Sharp | Occupational Therapist | 5770 S Fashion Blvd, Bldg #5, Suite 210, Murray, UT 84107 | 2018-05-22 |
| 1093223091 | Erin Nicole Hill | Counselor | 345 East 4500 South Suite 260, Murray, UT 84107 | 2018-01-12 |
| 1588171219 | Nicole Danielle Jensen | Counselor | 345 East 4500 South, Suite 260, Murray, UT 84107 | 2018-01-03 |
| 1043725799 | Greater Endodontics LLC | Dentist | 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 | 2017-12-04 |
| 1043739667 | Karyn K Hodge | Audiologist | 4500 So. 777. E. Ste #110, Murray, UT 84107 | 2017-09-14 |
| 1912426750 | Brandon C Burton | Specialist/Technologist, Other | Cta Community Supports 4444 S, 700 E Suite 203, Salt Lake City, UT 84107 | 2017-09-13 |
| 1396261152 | Megan Lehane Delano | Plastic Surgery | 5169 Cottonwood St Ste 420, Murray, UT 84107 | 2017-08-14 |
| Find all providers in zip 84107 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225191331 | Care Focus, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5242 College Dr, Suite 350, Murray, UT 84123-2653 | 2006-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629447370 | Rha Health Service Ut LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 650 S University St, Salt Lake City, UT 84102-3213 | 2015-09-23 |
| 1518340173 | Youth Health Associates, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 920 North 000 West, Manti, UT 84642-1065 | 2015-07-01 |
| 1689078453 | Valley Behavioral Health | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 198 West 7200 South, Midvale, UT 84047 | 2014-10-22 |
| 1659785368 | Brittney Spencer | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 191 N 700 W, Layton, UT 84041-4654 | 2014-06-20 |
| 1679852172 | Road To Success Youth Services LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4687 Rain Tree Way, West Valley City, UT 84120-1756 | 2011-08-15 |
| 1861679367 | Learning Services Corporation | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1259 W 13200 S, Riverton, UT 84065-6128 | 2008-01-28 |
| 1093833683 | Freewill Foundation Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 344 N 100 W, Centerfield, UT 84622 | 2007-03-26 |
| 1679690804 | Stepping Stoneschild Placement Agency | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 180 E 2100 S, 201b, Salt Lake City, UT 84115-2328 | 2007-03-23 |
| 1801937461 | Avatar, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4042 Pacific Ave Ste 3, Riverdale, UT 84405-1689 | 2007-02-08 |
| 1073662284 | Care Treatment and Recreation | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2057 Meadowlark Way, Sandy, UT 84093 | 2007-01-09 |
| 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.