NPIMap

Organization Active NPI

Blue Hills Residential Treatment

  • Substance Abuse Rehabilitation Facility
  • Moroni, UT
National Provider Identifier
1720465727
Registry record updated Apr 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
BLUE HILLS RESIDENTIAL TREATMENT
Practice address
21360 N 1450 E
Moroni, UT 84646-0461
Phone
(435) 445-5200
Fax
(435) 445-5201
NPI assigned
Apr 29, 2015
Last updated
Apr 29, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2015

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

Authorized official

Name
Kevin R Bailey, ACMHCNPI 1548562838
Title
Clinician
Phone
(435) 445-5200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

21360 N 1450 E
Moroni, UT 84646-0461

Mailing address

21360 N 1450 E
PO Box 461
Moroni, UT 84646-0461
Phone (435) 445-5200

Other identifiers 1

IdentifierTypeStateIssuer
1235458555MedicaidUT

National Provider Directory

National Provider Directory
Tax ID family
Blue Hills Residential Treatment6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1430265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430265600000",
    "number": "1720465727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21360 N 1450 E",
            "address_2": "PO BOX 461",
            "city": "MORONI",
            "state": "UT",
            "postal_code": "846460461",
            "telephone_number": "435-445-5200",
            "fax_number": "435-445-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21360 N 1450 E",
            "city": "MORONI",
            "state": "UT",
            "postal_code": "846460461",
            "telephone_number": "435-445-5200",
            "fax_number": "435-445-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE HILLS RESIDENTIAL TREATMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-29",
        "last_updated": "2015-04-29",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "435-445-5200",
        "authorized_official_credential": "ACMHC"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "UT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1235458555",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moroni, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.