INNERCHANGE OAKLEY, LLC (NPI# 1972935625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972935625 |
| Entity Type | Organization |
| Organization Name | INNERCHANGE OAKLEY, LLC |
| Practice Address |
251 West Weber Canyon Road Oakley UT 84055-0357 |
| Mailing Address |
661 East Technology Avenue Building B, Suite 1100 Orem UT 84097-6209 |
| Practice Telephone | 4337835010 |
| Enumeration Date | 2013-08-05 |
| Last Update Date | 2013-08-05 |
| Authorized Official Name | LANCE DAVIS (PRESIDENT) |
| Authorized Official Telephone | 8772824782 |
| Is Organization Subpart | Y |
| Parent Organization Name | SOLACIUM HOLDINGS, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 323P00000X | Psychiatric Residential Treatment Facility | Residential Treatment Facilities |
| Street Address |
251 WEST WEBER CANYON ROAD |
| City | OAKLEY |
| State | UT |
| Zip Code | 84055-0357 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255463618 | Oakley School | Psychiatric Residential Treatment Facility | 251 West Weber Canyon Road, Oakley, UT 84055-0357 | 2007-03-12 |
| 1235314253 | Lisa Hampshire | Social Worker | 251 West Weber Canyon Road, Oakley, UT 84055-0357 | 2008-01-09 |
| 1720262603 | Suzanne Clark | Marriage & Family Therapist | 251 West Weber Canyon Road, Oakley, UT 84055-0357 | 2007-12-27 |
| 1750565867 | Roxi Nelson | Social Worker | 251 West Weber Canyon Road, Oakley, UT 84055-0357 | 2007-12-26 |
| 1417130840 | Coady Schueler | Psychologist | 251 West Weber Canyon Road, Oakley, UT 84055-0357 | 2007-12-07 |
| 1790982999 | Rodney Andrus | Social Worker | 251 West Weber Canyon Road, Oakley, UT 84055-0357 | 2007-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366771065 | Syau-fu Ma | Obstetrics & Gynecology | 5974 N Maple Ridge Trail, Oakley, UT 84055 | 2009-12-09 |
| 1548420748 | Elk Meadows Assisted Living, LLC | Assisted Living Facility | 4200 North 400 West, Oakley, UT 84055 | 2008-06-11 |
| 1780760827 | Vernie Douglas Bodden Jr. | Obstetrics & Gynecology | 5224 N. 750 West, Oakley, UT 84055-0664 | 2006-10-31 |
| 1154872539 | Tillie Borrelli | Nurse Practitioner | 5184 Rodeo Cir, Oakley, UT 84055-2101 | 2016-10-20 |
| 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 |
|---|---|---|---|---|
| 1255463618 | Oakley School | Psychiatric Residential Treatment Facility | 251 West Weber Canyon Road, Oakley, UT 84055-0357 | 2007-03-12 |
| 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 |
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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.