NPIMap

Organization Active NPI

Rha Health Service Ut LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Provo, UT
National Provider Identifier
1053781054
Registry record updated Oct 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
2014-NCF-79 Issued in UT
Legal business name
RHA HEALTH SERVICE UT LLC
Practice address
256 E Center St
Provo, UT 84606-3107
Phone
(801) 373-8771
Fax
(801) 373-3262
NPI assigned
Oct 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2015

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

Authorized official

Name
Mrs. Christine L Christensen
Title
Director of Operations
Phone
(801) 763-9299

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 2014-NCF-79 UT Primary

Addresses

Primary practice location

256 E Center St
Provo, UT 84606-3107

Mailing address

256 E Center St
Provo, UT 84606-3107
Phone (801) 373-8771

Other identifiers 1

IdentifierTypeStateIssuer
2014-NCF-79MedicaidUT

Other names 1

  • Provo Care Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
DDMS of Utah No27 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

256 E Center St
Provo, UT 84606
Phone (801) 373-8771

NPI Registry JSON

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

{
    "created_epoch": "1443744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443744000000",
    "number": "1053781054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 E CENTER ST",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846063107",
            "telephone_number": "801-373-8771",
            "fax_number": "801-373-3262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 E CENTER ST",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846063107",
            "telephone_number": "801-373-8771",
            "fax_number": "801-373-3262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RHA HEALTH SERVICE UT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-02",
        "last_updated": "2015-10-02",
        "status": "A",
        "authorized_official_last_name": "CHRISTENSEN",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "801-763-9299",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "UT",
            "license": "2014-NCF-79",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2014-NCF-79",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Provo Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Provo, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2015; 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.