Active NPI
Ardu LLC
- Substance Abuse Rehabilitation Facility
- Provo, UT
National Provider Identifier
1801362116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- ARDU LLC
- Practice address
- 1053 W 1020 S
Provo, UT 84601-5656 - Phone
- (561) 352-5011
- NPI assigned
- Oct 15, 2018
- 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
- Kevin Thacker
- Title
- Director of Admissions
- Phone
- (801) 850-8384
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | Primary |
Addresses
Primary practice location
1053 W 1020 S
Provo, UT 84601-5656
Mailing address
1053 W 1020 S
Provo, UT 84601-5656
Phone (801) 810-1234
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
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- St George, UT
- NPI 1972726800
-
- Family Nurse Practitioner
- Orem, UT
- NPI 1659651750
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539561600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1564444800000",
"number": "1801362116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1053 W 1020 S",
"city": "PROVO",
"state": "UT",
"postal_code": "846015656",
"telephone_number": "801-810-1234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1053 W 1020 S",
"city": "PROVO",
"state": "UT",
"postal_code": "846015656",
"telephone_number": "561-352-5011"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARDU LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-10-15",
"last_updated": "2019-07-30",
"status": "A",
"authorized_official_last_name": "THACKER",
"authorized_official_first_name": "KEVIN",
"authorized_official_title_or_position": "DIRECTOR OF ADMISSIONS",
"authorized_official_telephone_number": "801-850-8384"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jul 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.