NPIMap

Organization Active NPI

Utah State University

  • Developmentally Disabled Services Day Training Agency
  • Logan, UT
National Provider Identifier
1811054182
Registry record updated Feb 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
0700020 Issued in UT
Legal business name
UTAH STATE UNIVERSITY
Practice address
809 N 800 E
Logan, UT 84321-3634
Phone
(435) 797-8532
Fax
(435) 797-8530
NPI assigned
Jan 3, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Drake Leroy Rasmussen
Title
Program Coordinator
Phone
(435) 797-8528

Corporate family (same tax ID) 11

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

National Provider Directory

National Provider Directory
Tax ID family
Utah State University (12 organizations share this tax ID)

Locations

809 N 800 E
Logan, UT 84321
Phone (435) 797-8532

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 0700020 UT Primary
Respite Care 385H00000X 0700020 UT

Addresses

NPPES NPI Registry

Primary practice location

809 N 800 E
Logan, UT 84321-3634

Mailing address

809 N 800 E
Logan, UT 84321-3634
Phone (435) 797-8529

Other names 1

NPPES NPI Registry
  • Developmental Skills Laboratory Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 9, 2011.

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297209600000",
    "number": "1811054182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 N 800 E",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843213634",
            "telephone_number": "435-797-8529",
            "fax_number": "435-797-8530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 N 800 E",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843213634",
            "telephone_number": "435-797-8532",
            "fax_number": "435-797-8530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UTAH STATE UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2011-02-09",
        "status": "A",
        "authorized_official_last_name": "RASMUSSEN",
        "authorized_official_first_name": "DRAKE",
        "authorized_official_middle_name": "LEROY",
        "authorized_official_title_or_position": "PROGRAM COORDINATOR",
        "authorized_official_telephone_number": "435-797-8528"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "UT",
            "license": "0700020",
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "UT",
            "license": "0700020",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Developmental Skills Laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Logan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.