Future Rising Agency

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

FUTURE RISING AGENCY

Practice address

339 E 3900 S
Suite 150
Salt Lake City, UT 84107-1677

Phone

(801) 889-5703

NPI assigned

Jan 24, 2017

Organization subpart

No

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

Authorized official

Name

Nadira Yassim

Title

Executive Director

Phone

(801) 889-5703

Specialties & licenses 1

Addresses

Other names 1

• Future Rising Agency Former legal business name

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

{
    "created_epoch": "1485216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485216000000",
    "number": "1497292791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 E 3900 S",
            "address_2": "SUITE 150",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841071677",
            "telephone_number": "801-889-5703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 E 3900 S",
            "address_2": "SUITE 150",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841071677",
            "telephone_number": "801-889-5703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUTURE RISING AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-24",
        "last_updated": "2017-01-24",
        "status": "A",
        "authorized_official_last_name": "YASSIM",
        "authorized_official_first_name": "NADIRA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "801-889-5703"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "UT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Future Rising Agency",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Caylee Gabbott
• Rosemary Gacnik-Flores, M.S., CCC-SLP
• Katherine Michelle Gaddis, APRN

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2017; 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.