Active NPI
Ronald McDonald House of the Intermountain Area
- Lodging Provider
- Salt Lake City, UT
National Provider Identifier
1326680869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lodging Provider
- Legal business name
- RONALD MCDONALD HOUSE OF THE INTERMOUNTAIN AREA
- Practice address
- 935 E. South Temple
Salt Lake City, UT 84102 - Phone
- (801) 363-4663
- NPI assigned
- Oct 16, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Carrie A Romano
- Title
- Ceo
- Phone
- (801) 363-4663
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Meals Provider | 174200000X | |||
| Lodging Provider | 177F00000X | Primary | ||
| Voluntary or Charitable Agency | 251V00000X |
Addresses
Primary practice location
935 E. South Temple
Salt Lake City, UT 84102
Mailing address
935 E. South Temple
Salt Lake City, UT 84102
Phone (801) 363-4663
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 144353400 | Medicaid | WY |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 46D2197509 | Ronald McDonald House Charities Intermountain Area | Certificate of waiver | Oct 25, 2026 |
National Provider Directory
National Provider DirectoryLocations
935 E South Temple
Salt Lake City, UT 84102
Phone (801) 363-4663
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571184000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1571184000000",
"number": "1326680869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "935 E. SOUTH TEMPLE",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "84102",
"telephone_number": "801-363-4663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "935 E. SOUTH TEMPLE",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "84102",
"telephone_number": "801-363-4663"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RONALD MCDONALD HOUSE OF THE INTERMOUNTAIN AREA",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-16",
"last_updated": "2019-10-16",
"status": "A",
"authorized_official_last_name": "ROMANO",
"authorized_official_first_name": "CARRIE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "801-363-4663",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "174200000X",
"taxonomy_group": "",
"desc": "Meals",
"state": null,
"license": null,
"primary": false
},
{
"code": "177F00000X",
"taxonomy_group": "",
"desc": "Lodging",
"state": null,
"license": null,
"primary": true
},
{
"code": "251V00000X",
"taxonomy_group": "",
"desc": "Voluntary or Charitable",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "144353400",
"state": "WY"
}
],
"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 Oct 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.