NPIMap

Organization Active NPI

Rha Community Services of Utah

  • Intellectual Disabilities Intermediate Care Facility
  • Salt Lake City, UT
National Provider Identifier
1245230820
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
2004-NCF-22 Issued in UT
Legal business name
RHA COMMUNITY SERVICES OF UTAH
Practice address
645 S 1300 E
Salt Lake City, UT 84102-3206
Phone
(801) 582-1457
Fax
(801) 582-3901
NPI assigned
Jul 26, 2005
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
Jacklynn Ivy Hughes
Title
Administrator
Phone
(801) 582-8097

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 2004-NCF-22 UT Primary

Addresses

Primary practice location

645 S 1300 E
Salt Lake City, UT 84102-3206

Mailing address

645 S 1300 E
Salt Lake City, UT 84102-3206
Phone (801) 582-1457

Other names 1

  • Bungalow Care Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bungalow Care Center7 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.

Locations

645 S 1300 E
Slc, UT 84102
Phone (385) 227-8565

NPI Registry JSON

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245230820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 S 1300 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841023206",
            "telephone_number": "801-582-1457",
            "fax_number": "801-582-3901"
        },
        {
            "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": "841023206",
            "telephone_number": "801-582-1457",
            "fax_number": "801-582-3901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RHA COMMUNITY SERVICES OF UTAH",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUGHES",
        "authorized_official_first_name": "JACKLYNN",
        "authorized_official_middle_name": "IVY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "801-582-8097"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "UT",
            "license": "2004-NCF-22",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bungalow Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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.