NPIMap

Organization Active NPI

Rha Community Services of Utah

  • Intellectual Disabilities Intermediate Care Facility
  • Bountiful, UT
National Provider Identifier
1033118674
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
2005-SHCF-344 Issued in UT
Legal business name
RHA COMMUNITY SERVICES OF UTAH
Practice address
340 N 100 W
Bountiful, UT 84010-6054
Phone
(801) 292-6797
Fax
(801) 295-3660
NPI assigned
Jul 15, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Scott Robert Conover
Title
Administrator
Phone
(801) 292-6797

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 2005-SHCF-344 UT Primary

Addresses

Primary practice location

340 N 100 W
Bountiful, UT 84010-6054

Mailing address

PO Box 1233
Bountiful, UT 84011-1233
Phone (801) 292-6797

Other names 1

  • North Side Center Other name

National Provider Directory

National Provider Directory
Tax ID family
Bungalow Care Center7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

340 N 100 W
Bountiful, UT 84010
Phone (801) 292-6797

NPI Registry JSON

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

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033118674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1233",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840111233",
            "telephone_number": "801-292-6797",
            "fax_number": "801-295-3660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 N 100 W",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840106054",
            "telephone_number": "801-292-6797",
            "fax_number": "801-295-3660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RHA COMMUNITY SERVICES OF UTAH",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CONOVER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "801-292-6797",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "UT",
            "license": "2005-SHCF-344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Side Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bountiful, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.