Organization Active NPI

Root Transition LLC

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Park City, UT
National Provider Identifier
1043980485
Registry record updated Dec 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
ROOT TRANSITION LLC
Practice address
150 Highland Dr
Park City, UT 84098-6139
Phone
(435) 334-5576
NPI assigned
Sep 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2023

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

Authorized official

Name
Lauren Angerosa
Title
Admissions Director
Phone
(435) 334-5576

Specialties & licenses 1

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

Addresses

Primary practice location

150 Highland Dr
Park City, UT 84098-6139

Mailing address

PO Box 980007
Park City, UT 84098-0116
Phone (435) 334-5576

National Provider Directory

National Provider Directory

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": "1631750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701993600000",
    "number": "1043980485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 980007",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840980116",
            "telephone_number": "435-334-5576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 HIGHLAND DR",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840986139",
            "telephone_number": "435-334-5576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOT TRANSITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-16",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A",
        "authorized_official_last_name": "ANGEROSA",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "ADMISSIONS DIRECTOR",
        "authorized_official_telephone_number": "435-334-5576"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2023; 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.