Access Private Duty, LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

2012-HHA-97078 Issued in UT

Legal business name

ACCESS PRIVATE DUTY, LLC

Practice address

359 E Main St Ste 4
American Fork, UT 84003-2678

Phone

(801) 642-2665

Fax

(801) 642-2667

NPI assigned

Jan 7, 2013

Organization subpart

No

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

Authorized official

Name

Mr. John W. Sumsion, SPHR

Title

Home Care Director

Phone

(801) 642-2665

Specialties & licenses 6

Addresses

Other identifiers 1

Tax ID family

Access Private Duty LLC2 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.

• Access Private Duty, LLC

  • In Home Supportive Care Agency
  • Salt Lake City, UT
  • NPI 1083986947
  NPD tax ID

Locations

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

{
    "created_epoch": "1357516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357516800000",
    "number": "1346587698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "359 E. MAIN STREET SUITE # 4",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "84003",
            "telephone_number": "801-642-2667",
            "fax_number": "801-642-2667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "359 E MAIN ST STE 4",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032678",
            "telephone_number": "801-642-2665",
            "fax_number": "801-642-2667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS PRIVATE DUTY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-07",
        "last_updated": "2013-01-07",
        "status": "A",
        "authorized_official_last_name": "SUMSION",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "HOME CARE DIRECTOR",
        "authorized_official_telephone_number": "801-642-2665",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "SPHR"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": "UT",
            "license": "2012-HHA-97078",
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "UT",
            "license": "2012-HHA-97078",
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "UT",
            "license": "2012-HHA-97078",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "UT",
            "license": "2012-HHA-97078",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "UT",
            "license": "2012-HHA-97078",
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "UT",
            "license": "2012-HHA-97078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083986947",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in American Fork, UT
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2013; 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.