Organization Active NPI

Olympus Academy

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Hurricane, UT
National Provider Identifier
1255751558
Registry record updated Jun 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
6600 Issued in UT
Legal business name
OLYMPUS ACADEMY
Practice address
1500 E 2700 S
Hurricane, UT 84737-4000
Phone
(435) 229-4889
Fax
(801) 386-5482
NPI assigned
Apr 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2014

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

Authorized official

Name
Mr. Joseph Ahquin Sr.
Title
Executive Director
Phone
(435) 229-4889

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 8066 UT
Adolescent and Children Mental Health Clinic/Center 261QM0855X 8067 UT
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X 8067 UT
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 8067 UT
Mental Illness Community Based Residential Treatment Facility 320800000X 6600 UT
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 6600 UT Primary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 8066 UT
Psychiatric Residential Treatment Facility 323P00000X 8066 UT
Psychiatric Residential Treatment Facility 323P00000X 8067 UT
Substance Abuse Rehabilitation Facility 324500000X 6600 UT
Children's Substance Abuse Rehabilitation Facility 3245S0500X 6600 UT

Addresses

Primary practice location

1500 E 2700 S
Hurricane, UT 84737-4000

Mailing address

1500 E 2700 S
Hurricane, UT 84737-4000
Phone (435) 229-4889

National Provider Directory

National Provider Directory

Locations

1500 E 2700 S
Hurricane, UT 84737
Phone (435) 635-0636

NPI Registry JSON

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

{
    "created_epoch": "1398297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402531200000",
    "number": "1255751558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 E 2700 S",
            "city": "HURRICANE",
            "state": "UT",
            "postal_code": "847374000",
            "telephone_number": "435-229-4889",
            "fax_number": "801-386-5482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E 2700 S",
            "city": "HURRICANE",
            "state": "UT",
            "postal_code": "847374000",
            "telephone_number": "435-229-4889",
            "fax_number": "801-386-5482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLYMPUS ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-24",
        "last_updated": "2014-06-12",
        "status": "A",
        "authorized_official_last_name": "AHQUIN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "435-229-4889",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "UT",
            "license": "8066",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "UT",
            "license": "8067",
            "primary": false
        },
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "UT",
            "license": "8067",
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "UT",
            "license": "8067",
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "UT",
            "license": "6600",
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "UT",
            "license": "6600",
            "primary": true
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "UT",
            "license": "8066",
            "primary": false
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "UT",
            "license": "8066",
            "primary": false
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "UT",
            "license": "8067",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "UT",
            "license": "6600",
            "primary": false
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "UT",
            "license": "6600",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hurricane, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2014; 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.