NPIMap

Organization Active NPI

Ensign Peak Services Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Salt Lake City, UT
National Provider Identifier
1124139654
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
10522 AND 10523 Issued in UT
Legal business name
ENSIGN PEAK SERVICES INC.
Practice address
2880 W 4700 S
Suite B
Salt Lake City, UT 84118-2156
Phone
(801) 982-1404
Fax
(801) 982-1365
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Dianna G. Hussey
Title
Executive Director
Phone
(801) 982-1404

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X 10522 AND 10523 UT Primary

Addresses

Primary practice location

2880 W 4700 S
Suite B
Salt Lake City, UT 84118-2156

Mailing address

3270 Meadowbrook Dr
Salt Lake City, UT 84119-5165
Phone (801) 982-0716

Other identifiers 1

IdentifierTypeStateIssuer
788007788248MedicaidUT

National Provider Directory

National Provider Directory
Tax ID family
Ensign Peak Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 4

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": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124139654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3270 MEADOWBROOK DR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841195165",
            "telephone_number": "801-982-0716",
            "fax_number": "801-965-8340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 W 4700 S",
            "address_2": "SUITE B",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841182156",
            "telephone_number": "801-982-1404",
            "fax_number": "801-982-1365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENSIGN PEAK SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUSSEY",
        "authorized_official_first_name": "DIANNA",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "801-982-1404",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "UT",
            "license": "10522 AND 10523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "788007788248",
            "state": "UT"
        }
    ],
    "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 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.