NPIMap

Organization Active NPI

Larry Linde Inc

Doing business as Heritage Youth Services

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Spanish Fork, UT
National Provider Identifier
1003959149
Registry record updated Jul 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
13995 Issued in UT
Legal business name
LARRY LINDE INC
Doing business as
Heritage Youth Services
Practice address
31 East 1600 North
Spanish Fork, UT 84660
Phone
(801) 798-9077
Fax
(801) 798-8949
NPI assigned
Feb 15, 2007
Organization subpart
Yes
Parent organization
LARRY LINDE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 15, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Corbin J Linde
Title
President
Phone
(801) 798-9077

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 11559 UT
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 13995 UT Primary

Addresses

Primary practice location

31 East 1600 North
Spanish Fork, UT 84660

Mailing address

PO Box 117
Spanish Fork, UT 84660
Phone (801) 798-9077

Other identifiers 1

IdentifierTypeStateIssuer
788007788301MedicaidUT

Other names 1

  • Heritage Youth Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Heritage Youth Services3 organizations share this tax ID, including this one
Part of
Heritage Youth Services

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

31 E 1600 N
Spanish Fork, UT 84660
Phone (801) 798-9077

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1003959149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 117",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "84660",
            "telephone_number": "801-798-9077",
            "fax_number": "801-798-8949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 EAST 1600 NORTH",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "84660",
            "telephone_number": "801-798-9077",
            "fax_number": "801-798-8949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY LINDE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LARRY LINDE INC",
        "enumeration_date": "2007-02-15",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "LINDE",
        "authorized_official_first_name": "CORBIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-798-9077"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "UT",
            "license": "11559",
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "UT",
            "license": "13995",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "788007788301",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Youth Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spanish Fork, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.