NPIMap

Organization Active NPI

The Phoenix Recovery Center - Female House

  • Substance Abuse Rehabilitation Facility
  • South Jordan, UT
National Provider Identifier
1295107241
Registry record updated Oct 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
THE PHOENIX RECOVERY CENTER - FEMALE HOUSE
Practice address
9538 S Morywood LN
South Jordan, UT 84095-2349
Phone
(801) 571-6798
Fax
(801) 619-2016
NPI assigned
Oct 28, 2015
Last updated
Oct 28, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
THE PHOENIX RECOVERY CENTER, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 28, 2015

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

Authorized official

Name
Mr. Bradley Randall Christensen
Title
Operations Director
Phone
(435) 773-5857

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X NU Primary

Addresses

Primary practice location

9538 S Morywood LN
South Jordan, UT 84095-2349

Mailing address

11762 S State St
Suite 360
Draper, UT 84020-7155
Phone (801) 571-6798

National Provider Directory

National Provider Directory
Tax ID family
The Phoenix Recovery Center LLC8 organizations share this tax ID, including this one
Part of
The Phoenix Recovery Center LLC

Other organizations with this tax ID 7

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

NPI Registry JSON

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

{
    "created_epoch": "1445990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445990400000",
    "number": "1295107241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11762 S STATE ST",
            "address_2": "SUITE 360",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840207155",
            "telephone_number": "801-571-6798",
            "fax_number": "801-619-2016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9538 S MORYWOOD LN",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840952349",
            "telephone_number": "801-571-6798",
            "fax_number": "801-619-2016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PHOENIX RECOVERY CENTER - FEMALE HOUSE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE PHOENIX RECOVERY CENTER, LLC",
        "enumeration_date": "2015-10-28",
        "last_updated": "2015-10-28",
        "status": "A",
        "authorized_official_last_name": "CHRISTENSEN",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "RANDALL",
        "authorized_official_title_or_position": "OPERATIONS DIRECTOR",
        "authorized_official_telephone_number": "435-773-5857",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Jordan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2015; 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.