Rha Health Service Ut LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

2015-NCF-22 Issued in UT

Legal business name

RHA HEALTH SERVICE UT LLC

Doing business as

Bungalow Care center

Practice address

645 S 1300 E
Salt Lake City, UT 84102

Phone

(801) 582-1457

Fax

(801) 582-3901

NPI assigned

Oct 6, 2015

Last updated

Oct 6, 2015By the provider in NPPES

Organization subpart

No

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

Addresses

Other identifiers 1

Other names 1

• Bungalow Care center Doing business as

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.

• DDMS of Utah No.2

  dba North Side Center

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Bountiful, UT
  • NPI 1326418328
  NPD tax ID
• DDMS of Utah No.2

  dba West Side Center

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • West Valley City, UT
  • NPI 1558730218
  NPD tax ID
• Rha Health Service Ut LLC

  dba Provo Care Center

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Provo, UT
  • NPI 1053781054
  NPD tax ID
• Rha Health Service Ut LLC

  dba Lindon Care and Training Center

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Lindon, UT
  • NPI 1417327164
  NPD tax ID
• Rha Health Service Ut LLC

  dba East Side Center

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Salt Lake City, UT
  • NPI 1629447370
  NPD tax ID
• Rha Health Services Ut LLC

  dba Hidden Hollow Care Center

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Orem, UT
  • NPI 1063881712
  NPD tax ID

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

{
    "created_epoch": "1444089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444089600000",
    "number": "1063882710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 S PACIFIC DR #109",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "84003",
            "telephone_number": "801-763-9299",
            "fax_number": "801-763-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 S 1300 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84102",
            "telephone_number": "801-582-1457",
            "fax_number": "801-582-3901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RHA HEALTH SERVICE UT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-06",
        "last_updated": "2015-10-06",
        "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": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "UT",
            "license": "2015-NCF-22",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2015-NCF-22",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bungalow Care center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sara T Reynoso
• Albert Anthony Reyos, CSW
• Maryam Rezvani, M.D.
• Rha Community Services of Utah (Bungalow Care Center)
• Rha Community Services of Utah (East Side Center)
• Rha Health Service Ut LLC (East Side Center)
• Irfan Ali Rhemtulla, MD
• Casey Rhoades
• Randy D. Rhodes, D.P.M.
• Rayvin Rhodes, CSW

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.