Double Decker

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

7769 Issued in UT

Legal business name

DOUBLE DECKER

Doing business as

Renaissance Recovery

Practice address

120 West 1470 South Unit 100
Saint George, UT 84770-7302

Phone

(435) 703-9840

NPI assigned

Jun 20, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Taz Decker

Title

Owner/Executive Director

Phone

(435) 703-9840

Specialties & licenses 1

Addresses

Other names 1

• Renaissance Recovery Doing business as

Locations

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

{
    "created_epoch": "1403222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491782400000",
    "number": "1811301542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 WEST 1470 SOUTH UNIT 100",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847707302",
            "telephone_number": "435-703-9840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 WEST 1470 SOUTH UNIT 100",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847707302",
            "telephone_number": "435-703-9840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUBLE DECKER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-20",
        "last_updated": "2017-04-10",
        "status": "A",
        "authorized_official_last_name": "DECKER",
        "authorized_official_first_name": "TAZ",
        "authorized_official_title_or_position": "OWNER/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "435-703-9840",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "UT",
            "license": "7769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renaissance Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rylee Alexis Dordahl
• Stanley Floyd Dorius
• Elizabeth J Dorsey, C.R.N.A.
• Jacqueline Dotson, APRN
• Cori Doubek
• Yesenia Lisette Doudy
• Tanner Stevenson Dougherty
• Cambria Jane Douglas
• Doula Drips by Dani LLC
• Dove Center

• Substance Abuse Rehabilitation Facility in Saint George, UT
• Providers in Saint George, UT by specialty
• Substance Abuse Rehabilitation Facility in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2017; 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.