Homerun Crisis Intervention Services LLC
Organization Active NPI Health Service Clinic/Center · Nibley, UT
NPI 1407529720 · NPPES record last updated Aug 2, 2021
Key facts
- NPI
- 1407529720
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Health Service Clinic/Center 261QH0100X
- Legal business name
- HOMERUN CRISIS INTERVENTION SERVICES LLC
- Practice address
- 205 Quarter Cir
Nibley, UT 84321-6317 - Phone
- (855) 660-7200
- NPI assigned
- Aug 2, 2021
- Organization subpart
- No
Authorized official
- Name
- Angela Marie Garner, RN
- Title
- Coo
- Phone
- (435) 452-2662
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Registered Nurse |
163WA0400X | |||
| Case Management Registered Nurse |
163WC0400X | |||
| Psychiatric/Mental Health Registered Nurse |
163WP0808X | |||
| Health Service Clinic/Center | 261QH0100X | Yes | ||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X |
Addresses
Primary practice location
205 Quarter Cir
Nibley, UT 84321-6317
Mailing address
PO Box 437
Hyrum, UT 84319-0437
Phone (435) 452-2662
Other providers in Nibley, UT
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- Jonathan Hill Daines
- Eric Dutson
- Enlightened Perspectives
- Healing Harmonies LLC
- Treana Hunt
- Jacqueline Johnson
- Adaleen Krambule
- Sandy Krambule
- Brynnley Sue Mair
All providers in Nibley, UT · Health Service Clinic/Center in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 2, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.