NPIMap

Organization Active NPI

Sol Recovery Community, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Woods Cross, UT
National Provider Identifier
1215642103
Registry record updated Mar 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
SOL RECOVERY COMMUNITY, INC.
Practice address
512 W 750 S Ste a
Woods Cross, UT 84010-7221
Phone
(801) 935-8449
NPI assigned
Jan 16, 2023
Last updated
Mar 17, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2023

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

Authorized official

Name
Kendra A BaumNPI 1184399065
Title
Ceo
Phone
(801) 935-8449

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

512 W 750 S Ste a
Woods Cross, UT 84010-7221

Mailing address

3855 S 500 W Ste E
South Salt Lake, UT 84115-4253
Phone (801) 935-8449

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251125003710 UT Part B Supplier - Clinic/Group Practice 7911499082 Receives reassigned benefits from 2 practitioners
Practice locations: Woods Cross, UT

National Provider Directory

National Provider Directory
Tax ID family
Sol Recovery Community2 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.

Locations

512 W 750 S
Ste A
Woods Cross, UT 84010
Phone (801) 935-8449

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1673827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679011200000",
    "number": "1215642103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3855 S 500 W STE E",
            "city": "SOUTH SALT LAKE",
            "state": "UT",
            "postal_code": "841154253",
            "telephone_number": "801-935-8449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 W 750 S STE A",
            "city": "WOODS CROSS",
            "state": "UT",
            "postal_code": "840107221",
            "telephone_number": "801-935-8449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOL RECOVERY COMMUNITY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-16",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A",
        "authorized_official_last_name": "BAUM",
        "authorized_official_first_name": "KENDRA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "801-935-8449"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woods Cross, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.