BRYCE CANYON ACADEMY OF UTAH, LLC (NPI# 1457638587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457638587 |
| Entity Type | Organization |
| Organization Name | BRYCE CANYON ACADEMY OF UTAH, LLC |
| Practice Address |
580 N Main Parowan UT 84761 |
| Mailing Address |
Po Box 967 Parowan UT 84761-0967 |
| Practice Telephone | 4354779167 |
| Mailing Telephone | 4354779167 |
| Enumeration Date | 2011-11-03 |
| Last Update Date | 2011-11-03 |
| Authorized Official Name | MR. TRAVIS GARY MILNE (PRINCIPAL OF BOARD) |
| Authorized Official Telephone | 4356694884 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 17338 | UT | Residential Treatment Facilities |
| Street Address |
580 N MAIN |
| City | PAROWAN |
| State | UT |
| Zip Code | 84761 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104395821 | Color Country Physical Therapy LLC | Clinic/Center | 450 E Clinic Way, Ste B, Parowan, UT 84761 | 2018-11-26 |
| 1346796133 | June Ds Angels Home Health Care | Home Health | 38 North 600 West, Parowan, UT 84761 | 2016-08-31 |
| 1104202068 | Evan Applegate | Physical Therapist | 450 E Clinic Way Ste B, Parowan, UT 84761 | 2015-08-03 |
| 1912339664 | Entrusted Care, LLC | In Home Supportive Care | 113 S 200 E, Parowan, UT 84761 | 2013-08-05 |
| 1447380589 | Ihc Health Services Inc | Family Medicine | 15 E 400 N, Parowan, UT 84761 | 2007-03-07 |
| 1447325352 | Gary W. Clark Dpm A Professional Corporation | Durable Medical Equipment & Medical Supplies | 450 E. Clinic Way, Parowan, UT 84761 | 2006-11-24 |
| 1720183288 | Terrance Marshall Cooper | Chiropractor | 313 West 200 South, Parowan, UT 84761 | 2006-09-13 |
| 1013939024 | Ellen F Gardner | Family Medicine | 200 South 4200 West, Parowan, UT 84761 | 2006-07-25 |
| 1922623388 | Jonathan James Hermansen | Physical Therapist | 450 E. Clinic Way, Suite B, Parowan, UT 84761 | 2020-06-11 |
| 1720562150 | Tyson Craig Grose | Dentist | 313 West 200 South, Parowan, UT 84761 | 2018-09-21 |
| Find all providers in zip 84761 | ||||
| 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 | ||||
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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.