Organization Active NPI

Sequel Youth Services of Red Rock Canyon

  • Psychiatric Residential Treatment Facility
  • St George, UT
National Provider Identifier
1437604329
Registry record updated Nov 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
SEQUEL YOUTH SERVICES OF RED ROCK CANYON
Doing business as
Red Rock Canyon School
Practice address
747 E Saint George Blvd
St George, UT 84770-3035
Phone
(435) 673-6111
NPI assigned
Aug 20, 2016
Organization subpart
Yes
Parent organization
CARE YOUTH CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 19, 2018

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

Authorized official

Name
Mrs. Mandy Moses
Title
Chief Program Officer/Evp
Phone
(256) 880-3339

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X Primary

Addresses

Primary practice location

747 E Saint George Blvd
St George, UT 84770-3035

Mailing address

1131 Eagletree LN SW
Huntsville, AL 35801-6491
Phone (256) 880-3339

Other names 1

  • Red Rock Canyon School Doing business as

National Provider Directory

National Provider Directory
Part of
Care Youth Corporation

NPI Registry JSON

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

{
    "created_epoch": "1471651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542585600000",
    "number": "1437604329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 EAGLETREE LN SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016491",
            "telephone_number": "256-880-3339",
            "fax_number": "256-880-7026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 E SAINT GEORGE BLVD",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847703035",
            "telephone_number": "435-673-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEQUEL YOUTH SERVICES OF RED ROCK CANYON",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CARE YOUTH CORPORATION",
        "enumeration_date": "2016-08-20",
        "last_updated": "2018-11-19",
        "status": "A",
        "authorized_official_last_name": "MOSES",
        "authorized_official_first_name": "MANDY",
        "authorized_official_title_or_position": "CHIEF PROGRAM OFFICER/EVP",
        "authorized_official_telephone_number": "256-880-3339",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Red Rock Canyon School",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Red Rock Canyon School",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St George, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2018; 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.