Active NPI
Heritage Schools, Inc
- Psychiatric Residential Treatment Facility
- Provo, UT
National Provider Identifier
1578699468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Residential Treatment Facility
- License
- 11836
- Legal business name
- HERITAGE SCHOOLS, INC
- Practice address
- 5600 N. Heritage School Drive
Provo, UT 84604 - Phone
- (801) 226-4600
- Fax
- (801) 226-4693
- NPI assigned
- Feb 26, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Glen R Zaugg
- Title
- Chief Operation Officer
- Phone
- (801) 226-4601
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Residential Treatment Facility | 323P00000X | 11836 | UT | Primary |
Addresses
Primary practice location
5600 N. Heritage School Drive
Provo, UT 84604
Mailing address
5600 N. Heritage School Drive
Provo, UT 84604
Phone (801) 226-4600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HS549PI | Medicaid | AK | |
| 432132003037 | Medicaid | UT |
Other names 1
- Heritage Residential Treatment Center
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 46D0945670 | Heritage Residential Treatment Center | Certificate of waiver | May 5, 2028 |
National Provider Directory
National Provider DirectoryLocations
5600 Heritage School Dr
Provo, UT 84604
Phone (801) 226-4600
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Provo, UT
- NPI 1467741405
-
- Clinical Social Worker
- Provo, UT
- NPI 1477251445
-
- Clinical Social Worker
- Orem, UT
- NPI 1205694312
-
- Clinical Social Worker
- Provo, UT
- NPI 1861869281
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1578699468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5600 N. HERITAGE SCHOOL DRIVE",
"city": "PROVO",
"state": "UT",
"postal_code": "84604",
"telephone_number": "801-226-4600",
"fax_number": "801-226-4693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5600 N. HERITAGE SCHOOL DRIVE",
"city": "PROVO",
"state": "UT",
"postal_code": "84604",
"telephone_number": "801-226-4600",
"fax_number": "801-226-4693"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HERITAGE SCHOOLS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-26",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ZAUGG",
"authorized_official_first_name": "GLEN",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "CHIEF OPERATION OFFICER",
"authorized_official_telephone_number": "801-226-4601"
},
"taxonomies": [
{
"code": "323P00000X",
"taxonomy_group": "",
"desc": "Psychiatric Residential Treatment Facility",
"state": "UT",
"license": "11836",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "HS549PI",
"state": "AK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "432132003037",
"state": "UT"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Heritage Residential Treatment Center",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Provo, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.