NPIMap

Organization Active NPI

Pioneer Youth & Adult Community Services

  • Foster Care Agency
  • Salt Lake City, UT
National Provider Identifier
1083932727
Registry record updated May 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foster Care AgencyTaxonomy code 253J00000X
License
16167 Issued in UT
Legal business name
PIONEER YOUTH & ADULT COMMUNITY SERVICES
Practice address
3030 S Main St Ste 400
Salt Lake City, UT 84115-3578
Phone
(801) 474-2500
Fax
(801) 474-9117
NPI assigned
May 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2010

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

Authorized official

Name
Mrs. Leima Muti Tupua
Title
Office Manager
Phone
(801) 474-2500

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 16168 UT
Foster Care Agency 253J00000X 16167 UT Primary

Addresses

Primary practice location

3030 S Main St Ste 400
Salt Lake City, UT 84115-3578

Mailing address

PO Box 651372
Salt Lake City, UT 84165-1372
Phone (801) 474-2500

National Provider Directory

National Provider Directory

Locations

3030 S Main St
Ste 400
South Salt Lake, UT 84115
Phone (801) 474-2500

Practitioners & affiliated clinicians

Practitioners 8

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": "1273017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273017600000",
    "number": "1083932727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 651372",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841651372",
            "telephone_number": "801-474-2500",
            "fax_number": "801-474-9117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 S MAIN ST STE 400",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841153578",
            "telephone_number": "801-474-2500",
            "fax_number": "801-474-9117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER YOUTH & ADULT COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-05",
        "last_updated": "2010-05-05",
        "status": "A",
        "authorized_official_last_name": "TUPUA",
        "authorized_official_first_name": "LEIMA",
        "authorized_official_middle_name": "MUTI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "801-474-2500",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "UT",
            "license": "16168",
            "primary": false
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "UT",
            "license": "16167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2010; 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.