YOUTH HEALTH ASSOCIATES (NPI# 1881011369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1881011369 |
Entity Type | Organization |
Organization Name | YOUTH HEALTH ASSOCIATES |
Practice Address |
836 N 1375 W Provo UT 84604-3049 |
Practice Telephone | 8013752523 |
Enumeration Date | 2014-03-24 |
Last Update Date | 2014-03-24 |
Authorized Official Name | AMBER ALLSUP (HOME SUPERVISOR) |
Authorized Official Telephone | 8013752523 |
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 | Residential Treatment Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598060543 | Youth Health Associates | Residential Treatment Facility, Emotionally Disturbed Children | 370 S. 500 E. #135, Clearfield, UT 84015 | 2011-01-24 |
1437683356 | Youth Health Associates | Community Based Residential Treatment Facility, Mental Illness | 501 W 2600 S, Suite 200, Bountiful, UT 84010-7784 | 2017-04-18 |
1003225483 | Youth Health Associates | Community Based Residential Treatment Facility, Mental Illness | 387 E 450 S, Clearfield, UT 84015-1734 | 2014-08-11 |
1821332040 | Youth Health Associates | Residential Treatment Facility, Emotionally Disturbed Children | 430 E 450 S, Clearfield, UT 84015-1736 | 2012-11-15 |
Street Address |
836 N 1375 W |
City | PROVO |
State | UT |
Zip Code | 84604-3049 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174844336 | Elizabeth Harward | Counselor | 836 N 1375 W, Provo, UT 84604-3049 | 2010-06-22 |
1285243683 | Cameron Camacho | Community Health Worker | 836 N 1375 W, Provo, UT 84604-3049 | 2020-07-31 |
1528603073 | Bailey Hartley | Community Health Worker | 836 N 1375 W, Provo, UT 84604-3049 | 2019-11-07 |
1568005643 | Courage Briant Cottrell | Community Health Worker | 836 N 1375 W, Provo, UT 84604-3049 | 2019-10-22 |
1609418029 | Joshua Bain Tate | Community Health Worker | 836 N 1375 W, Provo, UT 84604-3049 | 2019-10-17 |
1497398853 | Taylor Leduc | Student in an Organized Health Care Education/Training Program | 836 N 1375 W, Provo, UT 84604-3049 | 2019-10-17 |
1427523984 | Adam Mark Taylor | Counselor | 836 N 1375 W, Provo, UT 84604-3049 | 2018-10-10 |
1841782786 | Elise Villaroman | Community Health Worker | 836 N 1375 W, Provo, UT 84604-3049 | 2018-06-06 |
1629560669 | Joseph Isaiah Swafford | Community Health Worker | 836 N 1375 W, Provo, UT 84604-3049 | 2018-06-05 |
1639678782 | Tyler Brush | Counselor | 836 N 1375 W, Provo, UT 84604-3049 | 2018-02-05 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346882107 | Abigail Belle Hardy | Student in an Organized Health Care Education/Training Program | 1190 900 E, Provo, UT 84604 | 2019-10-14 |
1386106698 | Sarah Roseman Hunt | Nurse Practitioner | 1055 N 500 W., Suite. 101, Bldg. C, Provo, UT 84604 | 2019-04-04 |
1255813325 | Hwigeum Jeong | Specialist/Technologist | Department of Exercise Sciences 106 Sfh Brigham Young, Provo, UT 84604 | 2018-09-05 |
1093203044 | Snowcap Smile Studio LLC | Dentist | 2230 N. University Pkwy Ste 8b, Provo, UT 84604 | 2018-04-25 |
1407359078 | Ihc Health Services Inc | Clinic/Center | 380 W Bulldog Blvd, Ste 403, Provo, UT 84604 | 2018-03-09 |
1902308455 | Afton Leuga | Nurse Practitioner | 395 W Bulldog Blvd., Suite 401, Provo, UT 84604 | 2018-03-01 |
1851807333 | Ihc Health Services Inc | Family Medicine | 380 W 1230 N, Ste 602, Provo, UT 84604 | 2017-12-20 |
1689180218 | Ihc Health Services Inc | Pediatrics | 395 W Bulldog Blvd Ste 703, Provo, UT 84604 | 2017-12-19 |
1396254165 | Nicolas Sorensen | Massage Therapist | 247 West 2230 North #201, Provo, UT 84604 | 2017-09-25 |
1437692241 | Cirque Lodge Inc | Substance Abuse Rehabilitation Facility | 3114 E Ida's Road, Sundance, UT 84604 | 2016-11-28 |
Find all providers in zip 84604 |
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 |
---|---|---|---|---|
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 |
1750766713 | Youth Health Associates, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 836 N 1375 W, Provo, UT 84604-3049 | 2015-07-20 |
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 |
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 |
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 |
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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.