NPIMap

Organization Active NPI

Deer Hollow Recovery LLC

  • Psychiatric Residential Treatment Facility
  • Draper, UT
National Provider Identifier
1821473224
Registry record updated Feb 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
DEER HOLLOW RECOVERY LLC
Practice address
1481 E Pioneer Rd
Draper, UT 84020-9623
Phone
(801) 679-6669
NPI assigned
Jul 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2023

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

Authorized official

Name
Genevieve Mannor
Title
Executive Director
Phone
(801) 707-8282

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X
Psychiatric Residential Treatment Facility 323P00000X Primary
Substance Abuse Rehabilitation Facility 324500000X UT

Addresses

Primary practice location

1481 E Pioneer Rd
Draper, UT 84020-9623

Mailing address

PO Box 1078
Draper, UT 84020-1008
Phone (801) 679-6669

Other practice location 1

1601 E 13200 S
Draper, UT 84020-9078
Phone (801) 679-6669

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
46D2101660Deer Hollow Recovery1481 E Pioneer Rd, Draper, UT 84020Certificate of waiverSep 7, 2027

National Provider Directory

National Provider Directory

Locations

1601 E 13200 S
Draper, UT 84020
Phone (801) 400-9526

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1437955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676419200000",
    "number": "1821473224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1078",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840201008",
            "telephone_number": "801-679-6669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1481 E PIONEER RD",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840209623",
            "telephone_number": "801-679-6669"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 E 13200 S",
            "address_purpose": "LOCATION",
            "city": "Draper",
            "state": "UT",
            "postal_code": "840209078",
            "country_code": "US",
            "telephone_number": "801-679-6669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DEER HOLLOW RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-27",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A",
        "authorized_official_last_name": "MANNOR",
        "authorized_official_first_name": "GENEVIEVE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "801-707-8282"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "UT",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Draper, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.