AVALON HILLS HEALTH CARE, INC (NPI# 1619079779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619079779 |
| Entity Type | Organization |
| Organization Name | AVALON HILLS HEALTH CARE, INC |
| Practice Address |
7852 W 600 N Mendon UT 84325-9706 |
| Mailing Address |
Po Box 790102 Vernal UT 84079-0102 |
| Practice Telephone | 4357533686 |
| Mailing Telephone | 4357893865 |
| Mailing Fax Number | 4357893895 |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | TAMMY EINERSON (CFO) |
| Authorized Official Telephone | 4357893865 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 323P00000X | Psychiatric Residential Treatment Facility | 11544 | UT | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | BLUE CROSS BLUE SHIELD | 82090000000001 | 01 |
| Street Address |
7852 W 600 N |
| City | MENDON |
| State | UT |
| Zip Code | 84325-9706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578665626 | Benita Quakenbush-roberts | Psychologist | 7852 W 600 N, Mendon, UT 84325-9706 | 2006-09-01 |
| 1881868388 | Tera Leann Lensgrav-benson | Psychologist | 7852 W 600 N, Mendon, UT 84325-9706 | 2008-04-15 |
| 1063682953 | Stacey Lynne Brown | Registered Nurse | 7852 W 600 N, Mendon, UT 84325-9706 | 2008-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750861050 | Teresa Keane Hardman | Counselor | 165 W 100 N, Mendon, UT 84325 | 2018-08-16 |
| 1518292853 | James Bradford Molen | Military Hospital | 561 N 220 E, Mendon, UT 84325-9707 | 2009-10-05 |
| 1174088777 | William Lasley Davis | Counselor | 2365 S 5900 W, Mendon, UT 84325-9743 | 2019-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225637440 | Mina F Hanna | Pharmacist | 60 Blackstone St, Mendon, MA 01756-1305 | 2020-10-19 |
| 1043824519 | Linda Hershberger | Licensed Practical Nurse | 219 Lane St, Mendon, MI 49072-9630 | 2020-09-02 |
| 1841814159 | Margaret Kimberly Noyes | Social Worker | 42 Kinsley Ln, Mendon, MA 01756-1236 | 2020-06-02 |
| 1710522784 | Greta Von Der Luft | Physical Therapist | 8 Davenport Rd, Mendon, MA 01756-1083 | 2019-11-13 |
| 1639720782 | John Feenick | Specialist/Technologist | 466 Journeys End, Mendon, VT 05701-6703 | 2019-09-20 |
| 1174088777 | William Lasley Davis | Counselor | 2365 S 5900 W, Mendon, UT 84325-9743 | 2019-02-07 |
| 1891270278 | Amanda Nichole Babcock | Student in an Organized Health Care Education/Training Program | 23260 Van Resort Dr, Mendon, MI 49072-9596 | 2018-10-01 |
| 1750861050 | Teresa Keane Hardman | Counselor | 165 W 100 N, Mendon, UT 84325 | 2018-08-16 |
| 1871029223 | Michael J. Carl, D.d.s., P.C. | Dentist | 26288 M 60, Mendon, MI 49072-9702 | 2017-05-04 |
| 1316484348 | Keven Hagen | Chiropractor | 10 Assembly Dr Ste 105, Mendon, NY 14506-9604 | 2017-01-29 |
| Find all providers in MENDON | ||||
| Taxonomy Code | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881961498 | The Meadows Specialized Residential Program | Psychiatric Residential Treatment Facility | 55377 Walterspaugh Rd, Mendon, MI 49072-9545 | 2011-11-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548872724 | Care Youth Corporation-lava Heights | Psychiatric Residential Treatment Facility | 730 East Spring Drive, Toquerville, UT 84774-7742 | 2020-08-19 |
| 1053946095 | Recovery Innovations Inc | Psychiatric Residential Treatment Facility | 2411 S 1070 W Ste B, West Valley City, UT 84119-1570 | 2020-03-10 |
| 1518460369 | Uinta Academy Rtc, LLC | Psychiatric Residential Treatment Facility | 3746 S 4800 W, Wellsville, UT 84339-9785 | 2018-03-16 |
| 1679085963 | Zion Hills Academy, Inc. | Psychiatric Residential Treatment Facility | 5088 Veterans Memorial Dr, Enoch, UT 84721-7826 | 2017-10-26 |
| 1174051072 | Bridge House | Psychiatric Residential Treatment Facility | 235 S 200 E, Farmington, UT 84025-2320 | 2017-05-23 |
| 1568900116 | Maple Lake Academy for Boys | Psychiatric Residential Treatment Facility | 6612 S 3200 W, Benjamin, UT 84660-4123 | 2017-02-03 |
| 1619412046 | Awakening Behavioral Health, LLC | Psychiatric Residential Treatment Facility | 2973 W 13800 S, Bluffdale, UT 84065-8202 | 2016-12-20 |
| 1245787324 | Sequel Youth Services of Lava Heights | Psychiatric Residential Treatment Facility | 730 E. Spring Drive, Toquerville, UT 84774 | 2016-09-06 |
| 1295188209 | Care Youth Corporation | Psychiatric Residential Treatment Facility | 750 E Sr 9, Virgin, UT 84779-7726 | 2016-07-14 |
| 1184089013 | Ut-tex, Inc | Psychiatric Residential Treatment Facility | 3149 E 9800 S, Sandy, UT 84092-4213 | 2015-12-18 |
| 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.