NPIMap

Organization Active NPI

Rha Health Service Ut LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Salt Lake City, UT
National Provider Identifier
1629447370
Registry record updated Sep 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
2015SHCF-22 Issued in UT
Legal business name
RHA HEALTH SERVICE UT LLC
Doing business as
East Side Center
Practice address
650 S University St
Salt Lake City, UT 84102-3213
Phone
(801) 582-2195
Fax
(801) 582-3901
NPI assigned
Sep 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2015

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

Authorized official

Name
Mrs. Christine L Christensen
Title
Director of Operations
Phone
(801) 763-9299

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 2015SHCF-22 UT Primary

Addresses

Primary practice location

650 S University St
Salt Lake City, UT 84102-3213

Mailing address

642 S University St
Salt Lake City, UT 84102-3213
Phone (801) 582-2195

Other identifiers 2

IdentifierTypeStateIssuer
2015-SHVF-158MedicaidUT
46D0977163OtherUTCLIA

Other names 1

  • East Side Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
DDMS of Utah No27 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

650 S University St
Salt Lake City, UT 84102
Phone (801) 582-2195

NPI Registry JSON

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

{
    "created_epoch": "1442966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443139200000",
    "number": "1629447370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "642 S UNIVERSITY ST",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841023213",
            "telephone_number": "801-582-2195",
            "fax_number": "801-582-3901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 S UNIVERSITY ST",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841023213",
            "telephone_number": "801-582-2195",
            "fax_number": "801-582-3901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RHA HEALTH SERVICE UT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-23",
        "last_updated": "2015-09-25",
        "status": "A",
        "authorized_official_last_name": "CHRISTENSEN",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "801-763-9299",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "UT",
            "license": "2015SHCF-22",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2015-SHVF-158",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "46D0977163",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Side Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2015; 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.