NPIMap

Organization Active NPI

Rha Community Services of Utah

  • Intellectual Disabilities Intermediate Care Facility
  • Salt Lake City, UT
National Provider Identifier
1396745378
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-SHCF-158 Issued in UT
Legal business name
RHA COMMUNITY SERVICES OF UTAH
Practice address
642 University St
Salt Lake City, UT 84102-3213
Phone
(801) 582-2195
Fax
(801) 582-3901
NPI assigned
Jul 29, 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-SHCF-158 UT Primary

Addresses

Primary practice location

642 University St
Salt Lake City, UT 84102-3213

Mailing address

642 University St
Salt Lake City, UT 84102-3213
Phone (801) 582-2195

Other names 1

  • East Side 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

642 S University St
Salt Lake City, UT 84102
Phone (801) 582-2195

NPI Registry JSON

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396745378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "642 UNIVERSITY ST",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841023213",
            "telephone_number": "801-582-2195",
            "fax_number": "801-582-3901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "642 UNIVERSITY ST",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841023213",
            "telephone_number": "801-582-2195",
            "fax_number": "801-582-3901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RHA COMMUNITY SERVICES OF UTAH",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-29",
        "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-SHCF-158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Side 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.