NPIMap

Organization Active NPI

Utah Alcoholism Foundation

Doing business as Serenity House

  • Substance Abuse Rehabilitation Facility
  • Ogden, UT
National Provider Identifier
1578749453
Registry record updated Jan 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
13455 Issued in UT
Legal business name
UTAH ALCOHOLISM FOUNDATION
Doing business as
Serenity House
Practice address
529 25TH St
Ogden, UT 84401-2406
Phone
(801) 392-5971
NPI assigned
Jan 10, 2008
Last updated
Jan 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2008

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

Authorized official

Name
Marian Egbert
Title
Accounting Supervisor
Phone
(801) 487-3276

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 13455 UT Primary

Addresses

Primary practice location

529 25TH St
Ogden, UT 84401-2406

Mailing address

857 E 200 S
Salt Lake City, UT 84102-2317
Phone (801) 487-3276

Other names 1

  • Serenity House Doing business as

National Provider Directory

National Provider Directory
Tax ID family
House of Hope8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

529 25th St
Ogden, UT 84401
Phone (801) 392-5971

NPI Registry JSON

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

{
    "created_epoch": "1199923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199923200000",
    "number": "1578749453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "857 E 200 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841022317",
            "telephone_number": "801-487-3276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 25TH ST",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844012406",
            "telephone_number": "801-392-5971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UTAH ALCOHOLISM FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-10",
        "last_updated": "2008-01-10",
        "status": "A",
        "authorized_official_last_name": "EGBERT",
        "authorized_official_first_name": "MARIAN",
        "authorized_official_title_or_position": "ACCOUNTING SUPERVISOR",
        "authorized_official_telephone_number": "801-487-3276"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "UT",
            "license": "13455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenity House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ogden, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2008; 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.