Road to Success Youth Services LLC

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

18378 Issued in UT

Legal business name

ROAD TO SUCCESS YOUTH SERVICES LLC

Practice address

4687 Rain Tree Way
West Valley City, UT 84120-1756

Phone

(801) 792-8665

NPI assigned

Aug 15, 2011

Last updated

Aug 15, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Maria Easter Lavekihelotu

Title

Ceo

Phone

(801) 792-8665

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1313366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313366400000",
    "number": "1679852172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4687 RAIN TREE WAY",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841201756",
            "telephone_number": "801-792-8665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4687 RAIN TREE WAY",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841201756",
            "telephone_number": "801-792-8665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROAD TO SUCCESS YOUTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-15",
        "last_updated": "2011-08-15",
        "status": "A",
        "authorized_official_last_name": "LAVEKIHELOTU",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "EASTER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "801-792-8665",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "UT",
            "license": "18378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Intellectual and/or Developmental Disabilities Residential Treatment Facility in West Valley City, UT
• Providers in West Valley City, UT by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2011; 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.