TRINITY MISSION WIDE HORIZONS RESIDENTIAL CARE FACILITY, LP (NPI# 1841241445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841241445 |
| Entity Type | Organization |
| Organization Name | TRINITY MISSION WIDE HORIZONS RESIDENTIAL CARE FACILITY, LP |
| Practice Address |
910 Monroe Blvd Ogden UT 84404-6434 |
| Practice Telephone | 8013995876 |
| Practice Fax Number | 8013922955 |
| Mailing Telephone | 8013995876 |
| Mailing Fax Number | 8013922955 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2008-04-10 |
| Authorized Official Name | MR. JUDY ULLERY (PRESIDENT) |
| Authorized Official Telephone | 9019377994 |
| Is Organization Subpart | Y |
| Parent Organization Name | COVENANT DOVE, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | UTAH #2007-NCF-1 | UT | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | 930947340014 | 05 |
| Street Address |
910 MONROE BLVD |
| City | OGDEN |
| State | UT |
| Zip Code | 84404-6434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710419114 | North Parkway Healthcare, Inc. | Nursing Facility/Intermediate Care Facility | 910 Monroe Blvd, Ogden, UT 84404-6434 | 2017-04-03 |
| 1427290824 | Wide Horizons Residential Care Facility, LLC | Intermediate Care Facility, Mentally Retarded | 910 Monroe Blvd, Ogden, UT 84404-6434 | 2009-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881159648 | Bingham Marriage & Family Counseling | Counselor | 1812 W 2000 N #1, Ogden, UT 84404 | 2019-02-06 |
| 1609362094 | Hoopes Dental | Dentist | 333 2nd St. Suite 1a, Ogden, UT 84404 | 2018-07-09 |
| 1497241384 | Alysia Cohen | Specialist/Technologist | 1527 9th Street, Ogden, UT 84404 | 2018-07-03 |
| 1235648049 | Walk Perfect, Inc. | Podiatrist | 1069 S. Stewart Dr, Suite 1, Ogden, UT 84404 | 2017-09-25 |
| 1043738602 | Veronica Skidmore | Specialist/Technologist | 3848 Harrison Blvd., Ogden, UT 84404 | 2017-09-05 |
| 1134645526 | Pco-kta, LLC | Pharmacy | 3673 West 2600 North, Plain City, UT 84404 | 2017-08-17 |
| 1568899227 | Alisa Roberts | Marriage & Family Therapist | 1181 Christmas Box Lane, Ogden, UT 84404 | 2013-09-26 |
| 1366796351 | Kenneth Andrew Boothe | Chiropractor | 1920 North 250 West, Suite 24, Ogden, UT 84404 | 2012-10-30 |
| 1760730659 | Mercury Medical LLC | Durable Medical Equipment & Medical Supplies | 3385 W 2525 N, Plain City, UT 84404 | 2012-08-27 |
| 1700131471 | Tina Middleton | Massage Therapist | 1700w 2700n, # 37, Pleasant View, UT 84404 | 2012-07-19 |
| Find all providers in zip 84404 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427290824 | Wide Horizons Residential Care Facility, LLC | Intermediate Care Facility, Mentally Retarded | 910 Monroe Blvd, Ogden, UT 84404-6434 | 2009-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295267219 | Iron County Care Center LLC | Intermediate Care Facility, Mentally Retarded | 69 East 100 South, Parowan, UT 84761-0397 | 2017-03-29 |
| 1043518145 | Medallion Supported Living-payson | Intermediate Care Facility, Mentally Retarded | 2192 W State Rd, Payson, UT 84651-4539 | 2011-03-14 |
| 1538179981 | Medallion Supported Living | Intermediate Care Facility, Mentally Retarded | 651 E 200 S, Lehi, UT 84043-9703 | 2006-08-08 |
| 1720098163 | Medallion Manor Inc. | Intermediate Care Facility, Mentally Retarded | 1701 W 600 S, Provo, UT 84601-3832 | 2006-08-08 |
| 1457318917 | Mesa Vista Inc | Intermediate Care Facility, Mentally Retarded | 394 W 400 N, Orem, UT 84057-4663 | 2006-04-27 |
| 1871570374 | West Jordan Care Center | Intermediate Care Facility, Mentally Retarded | 3350 W 7800 S, West Jordan, UT 84088-4506 | 2005-12-27 |
| 1396745378 | Rha Community Services of Utah | Intermediate Care Facility, Mentally Retarded | 642 University St, Salt Lake City, UT 84102-3213 | 2005-07-29 |
| 1245230820 | Rha Community Services of Utah | Intermediate Care Facility, Mentally Retarded | 645 S 1300 E, Salt Lake City, UT 84102-3206 | 2005-07-26 |
| 1598764862 | Provo Care Center | Intermediate Care Facility, Mentally Retarded | 256 E Center St, Provo, UT 84606-3107 | 2005-07-19 |
| 1033118674 | Rha Community Services of Utah | Intermediate Care Facility, Mentally Retarded | 340 N 100 W, Bountiful, UT 84010-6054 | 2005-07-15 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on TRINITY MISSION WIDE HORIZONS RESIDENTIAL CARE FACILITY, LP.
| 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.