ROAD TO SUCCESS YOUTH SERVICES LLC (NPI# 1679852172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679852172 |
| Entity Type | Organization |
| Organization Name | ROAD TO SUCCESS YOUTH SERVICES LLC |
| Practice Address |
4687 Rain Tree Way West Valley City UT 84120-1756 |
| Practice Telephone | 8017928665 |
| Mailing Telephone | 8017928665 |
| Enumeration Date | 2011-08-15 |
| Last Update Date | 2011-08-15 |
| Authorized Official Name | MRS. MARIA EASTER LAVEKIHELOTU (CEO) |
| Authorized Official Telephone | 8017928665 |
| 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 | 18378 | UT | Residential Treatment Facilities |
| Street Address |
4687 RAIN TREE WAY |
| City | WEST VALLEY CITY |
| State | UT |
| Zip Code | 84120-1756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891349213 | Eli Kenny | Physical Therapist | 336 South 4155 West, West Valley City, UT 84120 | 2019-07-25 |
| 1841765377 | Wan Jen Horng | Pharmacist | 4052 Pioneer Parkway, # 111, West Valley City, UT 84120 | 2018-10-11 |
| 1841784220 | Andrea Savas | Physical Therapist | 3460 South 4155 West, West Valley City, UT 84120 | 2018-06-19 |
| 1235628223 | Meds In Motion, LLC | Pharmacy | 12101 S State St, Suite 101a, Draper, UT 84120 | 2018-05-04 |
| 1316477383 | Kendra Lindsey | Social Worker | 4052 W 3390 S Suite 105, West Valley City, UT 84120 | 2017-06-13 |
| 1154726842 | National Vision, Inc. | Technician/Technologist | 2569 South 5600 West, Ste A 550, West Valley, UT 84120 | 2014-10-24 |
| 1154637825 | Granger Pediatric Dentistry | Clinic/Center | 3725 W. 4100 S., Suite #260, West Valley City, UT 84120 | 2010-08-19 |
| 1104060714 | Comprehensive Medical Management, PC | Physical Medicine & Rehabilitation | 4052 W Pioneer Parkway, Suite 208, West Valley City, UT 84120 | 2009-04-27 |
| 1336384197 | Bamileke Sinju Sinju | Home Health | 3712 South Golden Grain Cir, West Valley City, UT 84120 | 2008-12-09 |
| 1164673331 | Empowered for Life, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5004 West Janette Drive, West Valley City, UT 84120 | 2008-10-07 |
| Find all providers in zip 84120 | ||||
| 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 |
|---|---|---|---|---|
| 1558730218 | Rha Heath Services Ut LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4028 S 4800 W, West Valley City, UT 84120-4537 | 2015-09-23 |
| 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 |
| 1386995611 | Intellegis, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 333 E Clark St, Murray, UT 84107-4916 | 2012-09-26 |
| 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 | ||||
| City | WEST VALLEY CITY |
| Zip Code | 84120 |
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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.