NPIMap

Organization Active NPI

Utah State University

Doing business as Developmental Skills Laboratory

  • 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
Doing business as
Developmental Skills Laboratory
Practice address
809 N 800 E
Logan, UT 84321-3634
Phone
(435) 797-8532
Fax
(435) 797-8530
NPI assigned
Jan 3, 2007
Last updated
Feb 9, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2011

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

Authorized official

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

Specialties & licenses 2

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

Addresses

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

  • Developmental Skills Laboratory Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Usu Student Health Wellness12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

Locations

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

NPI Registry JSON

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

{
    "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.