NPIMap

Organization Active NPI

Hautoa Enterprises LLC

Doing business as True North Recovery & Wellness Center

  • Substance Abuse Rehabilitation Facility
  • Orem, UT
National Provider Identifier
1407367345
Registry record updated Sep 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
HAUTOA ENTERPRISES LLC
Doing business as
True North Recovery & Wellness Center
Practice address
234 N Orem Blvd
Orem, UT 84057-6601
Phone
(801) 691-0672
Fax
(801) 691-0673
NPI assigned
Oct 18, 2017
Last updated
Sep 2, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2020

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

Authorized official

Name
Mr. Nate Jones
Title
Executive Director
Phone
(801) 592-9417

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X NU
Substance Abuse Rehabilitation Facility 324500000X UT Primary

Addresses

Primary practice location

234 N Orem Blvd
Orem, UT 84057-6601

Mailing address

51 W Center St # 355
Orem, UT 84057-4605
Phone (801) 592-9417

Other practice location 1

234 N Orem Blvd
Orem, UT 84057-6601
Phone (801) 691-0672 ext. 101

Other practice location 2

640 E 700 S Ste 3
St George, UT 84770-4006
Phone (435) 673-1004

Other identifiers 3

IdentifierTypeStateIssuer
1811254345MedicaidUT
1124329917MedicaidUT
1780801753MedicaidUT

Other names 1

  • True North Recovery & Wellness Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Opioid treatment program
Medicare-enrolled since Jan 1, 2020

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210201000314 UT Part B Supplier - Opioid Treatment Program (Otp) 1456765585 Practice locations: Orem, UT; St George, UT

National Provider Directory

National Provider Directory

Locations

640 E 700 S
Ste 3
St George, UT 84770
Phone (435) 627-2112

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1508284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599004800000",
    "number": "1407367345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 W CENTER ST # 355",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840574605",
            "telephone_number": "801-592-9417",
            "fax_number": "801-691-0673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 N OREM BLVD",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840576601",
            "telephone_number": "801-691-0672",
            "fax_number": "801-691-0673"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "234 N Orem Blvd",
            "address_purpose": "LOCATION",
            "city": "Orem",
            "state": "UT",
            "postal_code": "840576601",
            "country_code": "US",
            "telephone_number": "801-691-0672 x101",
            "fax_number": "801-691-0673",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "640 E 700 S Ste 3",
            "address_purpose": "LOCATION",
            "city": "St George",
            "state": "UT",
            "postal_code": "847704006",
            "country_code": "US",
            "telephone_number": "435-673-1004",
            "fax_number": "435-673-1049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HAUTOA ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-18",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "NATE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "801-592-9417",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "UT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1811254345",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124329917",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1780801753",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "True North Recovery & Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orem, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.