Active NPI
Root Transition LLC
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Park City, UT
National Provider Identifier
1043980485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Park City, UT
- NPI 1013652676
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.