Organization Active NPI

The Road Home

  • Case Management Agency
  • Salt Lake City, UT
National Provider Identifier
1033212840
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
133036-3502 Issued in UT
Legal business name
THE ROAD HOME
Practice address
210 S Rio Grande St
Salt Lake City, UT 84101-1104
Phone
(801) 355-9391
Fax
(801) 359-8254
NPI assigned
Sep 7, 2006
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
Ms. Leslie S. Russell, MSWNPI 1609038447
Title
Director of Human Resources/Grants
Phone
(801) 355-9391

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)CodeLicenseStatePrimary
Case Management Agency 251B00000X 133036-3502 UT Primary

Addresses

Primary practice location

210 S Rio Grande St
Salt Lake City, UT 84101-1104

Mailing address

210 S Rio Grande St
Salt Lake City, UT 84101-1104
Phone (801) 355-9391

National Provider Directory

National Provider Directory

Locations

210 S Rio Grande St
Salt Lake Cty, UT 84101
Phone (801) 355-9391

Practitioners & affiliated clinicians

Practitioners 1

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": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033212840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 S RIO GRANDE ST",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841011104",
            "telephone_number": "801-355-9391",
            "fax_number": "801-359-8254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 S RIO GRANDE ST",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841011104",
            "telephone_number": "801-355-9391",
            "fax_number": "801-359-8254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ROAD HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "DIRECTOR OF HUMAN RESOURCES/GRANTS",
        "authorized_official_telephone_number": "801-355-9391",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "UT",
            "license": "133036-3502",
            "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 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.