NPIMap

Organization Active NPI

Healing Science Retreat LLC

  • Substance Abuse Rehabilitation Facility
  • Draper, UT
National Provider Identifier
1477008498
Registry record updated Aug 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
APPLIED FOR Issued in UT
Legal business name
HEALING SCIENCE RETREAT LLC
Practice address
12231 S 1950 E
Draper, UT 84020-9671
Phone
(385) 630-2792
NPI assigned
Aug 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2016

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

Authorized official

Name
Ms. Michelle Deyoung
Title
General Manager
Phone
(385) 630-2792

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X APPLIED FOR UT Primary

Addresses

Primary practice location

12231 S 1950 E
Draper, UT 84020-9671

Mailing address

12231 S 1950 E
Draper, UT 84020-9671
Phone (385) 630-2792

National Provider Directory

National Provider Directory
Tax ID family
Healing Science Retreat 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.

NPI Registry JSON

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

{
    "created_epoch": "1471564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471564800000",
    "number": "1477008498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12231 S 1950 E",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840209671",
            "telephone_number": "385-630-2792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12231 S 1950 E",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840209671",
            "telephone_number": "385-630-2792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING SCIENCE RETREAT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-19",
        "last_updated": "2016-08-19",
        "status": "A",
        "authorized_official_last_name": "DEYOUNG",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "385-630-2792",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "UT",
            "license": "APPLIED FOR",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Draper, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2016; 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.