RHA HEALTH SERVICE UT LLC (NPI# 1629447370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629447370 |
| Entity Type | Organization |
| Organization Name | RHA HEALTH SERVICE UT LLC |
| Other Organization Name | EAST SIDE CENTER |
| Practice Address |
650 S University St Salt Lake City UT 84102-3213 |
| Mailing Address |
642 S University St Salt Lake City UT 84102-3213 |
| Practice Telephone | 8015822195 |
| Practice Fax Number | 8015823901 |
| Mailing Telephone | 8015822195 |
| Mailing Fax Number | 8015823901 |
| Enumeration Date | 2015-09-23 |
| Last Update Date | 2015-09-25 |
| Authorized Official Name | MRS. CHRISTINE L CHRISTENSEN (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 8017639299 |
| 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 | 2015SHCF-22 | UT | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | 2015-SHVF-158 | 05 | |
| UT | CLIA | 46D0977163 | 01 |
| Other Name | Type Code |
|---|---|
| East Side Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417327164 | Rha Health Service Ut LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 680 N State St, Lindon, UT 84042-1323 | 2015-10-06 |
| 1063882710 | Rha Health Service Ut LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 645 S 1300 E, Salt Lake City, UT 84102 | 2015-10-06 |
| 1053781054 | Rha Health Service Ut LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 256 E Center St, Provo, UT 84606-3107 | 2015-10-02 |
| 1326418328 | Rha Health Service Ut LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 340 N 100 W, Bountiful, UT 84010-6054 | 2015-10-02 |
| Street Address |
650 S UNIVERSITY ST |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84102-3213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942818604 | Wendy Vazquez | Behavior Technician | 515 S 700 E Suit 2a, Salt Lake City, UT 84102 | 2020-07-20 |
| 1407481245 | Odyssey House Inc | Family Medicine | 743 E 300 S, Salt Lake City, UT 84102 | 2020-03-11 |
| 1093359960 | Hayle Mayer | Behavior Technician | 515 S 700 E Salt Lake City, Suite 2a, Salt Lake, UT 84102 | 2019-11-04 |
| 1326680869 | Ronald Mcdonald House of The Intermountain Area | Meals | 935 E. South Temple, Salt Lake City, UT 84102 | 2019-10-16 |
| 1508419581 | Claire Pemberton | Behavior Technician | 327 E 1300 S, Apt 2, Salt Lake City, UT 84102 | 2019-07-19 |
| 1558923144 | Olivia Anne Hardwick | Social Worker | Transitions At Slrmc, 86 S. 1100 E. Suite 404, Salt Lake City, UT 84102 | 2019-07-03 |
| 1649741802 | Colten Vancampen | Behavior Technician | 515 S 700 E #2a, Salt Lake City, UT 84102 | 2018-12-16 |
| 1457847964 | Utah Podiatry Group PC | Podiatrist | 24 S 1100 E Ste 120, Salt Lake City, UT 84102 | 2018-07-09 |
| 1104311661 | Malorey Kooyman | Behavior Technician | 515 700 East, Suite 2a, Salt Lake City, UT 84102 | 2018-06-27 |
| 1700384930 | Utah Podiatry Group PC | Podiatrist | 82 S 1100 E Ste 301, Salt Lake City, UT 84102 | 2018-01-23 |
| Find all providers in zip 84102 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1386995611 | Intellegis, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 333 E Clark St, Murray, UT 84107-4916 | 2012-09-26 |
| 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 |
| 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 |
| 1316004583 | Danville Services of Utah, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 7351 So. Union Park Ave, #200, Midvale, UT 84047-6035 | 2007-01-03 |
| Find all providers with the same taxonomy | ||||
| City | SALT LAKE CITY |
| Zip Code | 84102 |
Please comment or provide details below to improve the information on RHA HEALTH SERVICE UT LLC.
| 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.