UTAH ADDICTION CENTERS (NPI# 1609130418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609130418 |
| Entity Type | Organization |
| Organization Name | UTAH ADDICTION CENTERS |
| Other Organization Name | INNER-VENTION BEHAVIORAL HEALTH |
| Practice Address |
2590 Prarie View Drive Eagle Mountain UT 84005 |
| Practice Telephone | 8017662233 |
| Mailing Telephone | 8017662233 |
| Enumeration Date | 2012-06-26 |
| Last Update Date | 2019-04-17 |
| Authorized Official Name | DARRON QUENTIN BOBERG (PRESIDENT/OWNER) |
| Authorized Official Telephone | 8017662233 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Inner-Vention Behavioral Health | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629423280 | Utah Addiction Centers | Substance Abuse Rehabilitation Facility | 2590 E Prairie View Dr, Eagle Mountain, UT 84005-6096 | 2016-05-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | UTAH ADDICTION CENTERS, LLC. | 2590 Prarie View Dr, Eagle Mountain, UT 84005-6096 |
| Street Address |
2590 PRARIE VIEW DRIVE |
| City | EAGLE MOUNTAIN |
| State | UT |
| Zip Code | 84005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922573856 | Eagle Mountain Children's Dentistry Pllc | Clinic/Center | 3435 Pony Express Parkway Ste. 130, Eagle Mountain, UT 84005 | 2018-10-08 |
| 1437650157 | Michael Hogue | Emergency Medical Technician, Basic | 2036 E Harkers Way, Eagle Mountain, UT 84005 | 2018-02-27 |
| 1376050682 | Bell Adult Healthcare and Wellness Pllc | Nurse Practitioner | 4719 E Silver Creek Way, Eagle Mountain, UT 84005 | 2018-01-08 |
| 1891201794 | Breaking Barriers Therapy Services LLC | Speech-Language Pathologist | 3756 E Barton Creek Dr, Eagle Mountain, UT 84005 | 2017-12-14 |
| 1346770617 | Mallory Lynn Hansen | Speech-Language Pathologist | 8981 N Skye Loop, Eagle Mountain, UT 84005 | 2017-06-19 |
| 1609315480 | Pony Express Dental LLC | Clinic/Center | 1308 E. Eagle Mountain Blvd, Eagle Mountain, UT 84005 | 2017-02-14 |
| 1760763411 | Elizabeth A Pritt | Physician Assistant | 4095 E Pony Express Parkway, Suite 1, Eagle Mountain, UT 84005 | 2011-09-07 |
| 1902101587 | Benjamin Dean Jones | Social Worker | 4682 East Foxwood Drive, Eagle Mountain, UT 84005 | 2011-01-13 |
| 1407182892 | Jacob Chase Fowler | Pharmacist | 3435 E Pony Express Pkwy Ste 150, Eagle Mountain, UT 84005 | 2009-10-20 |
| 1861627937 | Matthew Philip Sudweeks | Physical Therapist | 3726 E Campus Dr., Ste: H, Eagle Mountain, UT 84005 | 2009-05-19 |
| Find all providers in zip 84005 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932521226 | Zion Recovery | Substance Abuse Rehabilitation Facility | 4682 Foxwood Dr, Eagle Mountain, UT 84005-6176 | 2014-01-06 |
| 1629423280 | Utah Addiction Centers | Substance Abuse Rehabilitation Facility | 2590 E Prairie View Dr, Eagle Mountain, UT 84005-6096 | 2016-05-02 |
| 1124465489 | Arcadia Residential Center LLC | Substance Abuse Rehabilitation Facility | 4682 East Foxwood Drive, Eagle Mountain, UT 84005 | 2013-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013886 | Brc Wellness LLC | Substance Abuse Rehabilitation Facility | 4911 S 900 E Ste B, Salt Lake City, UT 84117-5747 | 2020-11-06 |
| 1891307104 | Steps Recovery Center | Substance Abuse Rehabilitation Facility | 345 E 4500 S # 100-140, Murray, UT 84107-3991 | 2020-08-18 |
| 1104460666 | Active Recovery, LLC | Substance Abuse Rehabilitation Facility | 25 S Main St # 212, Centerville, UT 84014-1840 | 2019-10-28 |
| 1437709441 | Insight Recovery Cedar City, LLC | Substance Abuse Rehabilitation Facility | 1050 W Old Highway 91, Parowan, UT 84761-7725 | 2019-09-12 |
| 1316506470 | Evnsq, LLC | Substance Abuse Rehabilitation Facility | 5162 S Highland Dr, Holladay, UT 84117-7048 | 2019-06-11 |
| 1114584356 | Juniper Canyon Recovery Center for Women, LLC | Substance Abuse Rehabilitation Facility | 520 North Aspen Road, Loa, UT 84747-8474 | 2019-05-23 |
| 1750948030 | Liberty Addiction Recovery Centers LLC | Substance Abuse Rehabilitation Facility | 10458 N 6570 W, Highland, UT 84003-9311 | 2019-05-22 |
| 1235793290 | Mountain Valley Recovery LLC | Substance Abuse Rehabilitation Facility | 9431 N 400 W, Holden, UT 84636 | 2019-04-25 |
| 1346803525 | Brookstone Foundation | Substance Abuse Rehabilitation Facility | 198 N 100 E # 198n100e, St George, UT 84770-2831 | 2019-04-15 |
| 1639649684 | Sterling Recovery | Substance Abuse Rehabilitation Facility | 525 W 465 N Ste 130, Providence, UT 84332-5604 | 2018-12-03 |
| Find all providers with the same taxonomy | ||||
| City | EAGLE MOUNTAIN |
| Zip Code | 84005 |
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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.