DISCOVERY HOUSE LT, INC. (NPI# 1982875928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982875928 |
| Entity Type | Organization |
| Organization Name | DISCOVERY HOUSE LT, INC. |
| Practice Address |
523 Heritage Park Blvd Layton UT 84041-5711 |
| Mailing Address |
6185 Paseo Del Norte Ste 150 Carlsbad CA 92011-1155 |
| Practice Telephone | 8015259998 |
| Practice Fax Number | 8015256984 |
| Mailing Telephone | 8552592288 |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2020-01-30 |
| Authorized Official Name | KIM SANDERSON (INTERIM PRESIDENT, CTC DIVISION) |
| Authorized Official Telephone | 8552592288 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
13742 | UT | Ambulatory Health Care Facilities |
| Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
13742 | UT | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | PENDING | 05 |
| Street Address |
523 HERITAGE PARK BLVD |
| City | LAYTON |
| State | UT |
| Zip Code | 84041-5711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710009915 | Bcbu, Inc | Home Health | 523 Heritage Park Blvd, Layton, UT 84041-5711 | 2007-04-06 |
| 1508496605 | Mistie Jolene Hoaglin | Social Worker | 523 Heritage Park Blvd, Layton, UT 84041-5711 | 2020-01-17 |
| 1487112264 | Kelly Martin | Social Worker | 523 Heritage Park Blvd, Layton, UT 84041-5711 | 2019-03-11 |
| 1801139613 | Nicole Wardell | Counselor | 523 Heritage Park Blvd, Layton, UT 84041-5711 | 2013-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700499183 | Grab Healthcare, LLC | Clinic/Center | 245 E 2150 N, Suite C, Layton, UT 84041 | 2020-08-26 |
| 1154961399 | Victoria Leeann Taylor | Massage Therapist | 716 Antelope Dr, Layton, UT 84041 | 2020-01-15 |
| 1184181505 | Brian Taylor Woodbury | Occupational Therapist | 471 Heritage Park Blvd. Ste #5, Layton, UT 84041 | 2019-02-21 |
| 1740756816 | Jacob C Juarez | Physician Assistant | 2084 N. 1700 W., Suite A, Layton, UT 84041 | 2018-10-16 |
| 1134637945 | Jodi Lynn Siri | Counselor | 365 W 1550 N Ste F, Layton, UT 84041 | 2018-01-15 |
| 1083128029 | Utah Cvs Pharmacy LLC | Pharmacy | 50 South Fort Lane, Layton, UT 84041 | 2017-11-29 |
| 1376057315 | Utah Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2000 W & W 1700 S Nec, Layton, UT 84041 | 2017-11-29 |
| 1912411992 | Live Strong House LLC | Counselor | 377 N. Marshall Way, Suite 1b, Layton, UT 84041 | 2017-11-28 |
| 1003326505 | Kenneth L Ernstrom | Pharmacist | 2065 N Robins Drive, Layton, UT 84041 | 2017-10-10 |
| 1356868319 | Utah Home Health and Hospice LLC | Family Medicine | 920 W Heritage Park Blvd Suite 120, Layton, UT 84041 | 2017-08-29 |
| Find all providers in zip 84041 | ||||
| Taxonomy Code | 261QM2800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Methadone Clinic |
| An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982170528 | Baymark Health Services of Utah, Inc. | Clinic/Center | 2557 Lincoln Ave, Ogden, UT 84401-1307 | 2018-10-22 |
| 1578685897 | Discovery House Tv, Inc. | Clinic/Center | 5983 S Redwood Rd, Taylorsville, UT 84123-5261 | 2007-04-06 |
| 1295804110 | Metamorphosis Ogden, Inc. | Clinic/Center | 2144 Washington Blvd, Ogden, UT 84401-1420 | 2006-11-07 |
| 1306829122 | Discovery House Utah, Inc. | Clinic/Center | 449 E 2100 S, Salt Lake City, UT 84115-2237 | 2005-11-25 |
| 1710453352 | Baymark Health Services of Utah, Inc. | Clinic/Center | 164 E 5900 S, Salt Lake City, UT 84107-7256 | 2018-10-22 |
| 1407367345 | Hautoa Enterprises LLC | Clinic/Center | 234 N Orem Blvd, Orem, UT 84057-6601 | 2017-10-18 |
| 1649561598 | Project Reality | Clinic/Center | 150 E 700 S, Salt Lake City, UT 84111-3806 | 2011-04-27 |
| 1346495298 | Metamorphosis Salt Lake City, Inc. | Clinic/Center | 339 E 3900 S, Suite 101, Salt Lake City, UT 84107-1677 | 2008-11-19 |
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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.