Care Treatment and Recreation

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

CARE TREATMENT AND RECREATION

Practice address

2057 Meadowlark Way
Sandy, UT 84093

Phone

(801) 699-8765

NPI assigned

Jan 9, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Corey Lynn Headman

Title

Cfo

Phone

(801) 699-8765

Specialties & licenses 1

Addresses

Other names 1

• CTR Other name

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073662284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2057 MEADOWLARK WAY",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "84093",
            "telephone_number": "801-699-8765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2057 MEADOWLARK WAY",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "84093",
            "telephone_number": "801-699-8765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE TREATMENT AND RECREATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HEADMAN",
        "authorized_official_first_name": "COREY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "801-699-8765",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CTR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Canyons Medical Center PC
• Canyons School District
• Berret Capps
• Capstone Clinical Services
• Cara Drury Consulting LLC
• Shaleena Carlisle, MSWI
• Jennifer Carlson, CMCH MAC
• Keriann Carlson, RN
• Jeffrey Carr, LCSW
• Korbin Carr, OTR/L

• All providers in Sandy, UT
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Utah

• 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.