Active NPI
Watercourse Way Wellness Services, LLC
- Substance Use Disorder Rehabilitation Clinic/Center
- Salt Lake City, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- Legal business name
- WATERCOURSE WAY WELLNESS SERVICES, LLC
- Practice address
- 275 E South Temple
Salt Lake City, UT 84111-1247 - Phone
- (801) 697-9677
- NPI assigned
- Nov 13, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert Jeremy Sayer, SUDC
- Title
- Owner
- Phone
- (801) 697-9677
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | Primary |
Addresses
Primary practice location
275 E South Temple
Salt Lake City, UT 84111-1247
Mailing address
12984 S Harvest Field Cir
Riverton, UT 84065-7293
Phone (801) 616-7185
National Provider Directory
National Provider Directory- Tax ID family
- Watercourse Way Wellness Services LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Case Manager/Care Coordinator
- Riverton, UT
- NPI 1346117371
Locations
275 E South Temple
Salt Lake City, UT 84111
Phone (385) 246-3392
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Case Manager/Care Coordinator
- Riverton, UT
- NPI 1346117371
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Community Health Worker
- SLC, UT
- NPI 1760183321
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731456000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731456000000",
"number": "1023832334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12984 S HARVEST FIELD CIR",
"city": "RIVERTON",
"state": "UT",
"postal_code": "840657293",
"telephone_number": "801-616-7185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 E SOUTH TEMPLE",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841111247",
"telephone_number": "801-697-9677"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WATERCOURSE WAY WELLNESS SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-11-13",
"last_updated": "2024-11-13",
"certification_date": "2024-11-13",
"status": "A",
"authorized_official_last_name": "SAYER",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "JEREMY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "801-697-9677",
"authorized_official_credential": "SUDC"
},
"taxonomies": [
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.