North Star Center, LLC.

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

License

39297 Issued in UT

Legal business name

NORTH STAR CENTER, LLC.

Practice address

254 S State St Ste a
La Verkin, UT 84745-5633

Phone

(800) 635-0165

NPI assigned

Aug 2, 2017

Last updated

Jun 16, 2018By the provider in NPPES

Organization subpart

Yes

Parent organization

NORTH STAR TREATMENT, LLC.As reported in NPPES

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

Authorized official

Name

Joe Ahquin Sr.

Title

Executive Director

Phone

(435) 229-4889

Specialties & licenses 3

Addresses

Other names 2

• North Star Treatment Other name
• North Star Treatment Center Other name

Part of

North Star Center LLC

Locations

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

{
    "created_epoch": "1501632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1821512583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 N STATE ST # 555",
            "city": "LA VERKIN",
            "state": "UT",
            "postal_code": "847458001",
            "telephone_number": "800-635-0165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 S STATE ST STE A",
            "city": "LA VERKIN",
            "state": "UT",
            "postal_code": "847455633",
            "telephone_number": "800-635-0165"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "204 S State St Ste A",
            "address_purpose": "LOCATION",
            "city": "LA Verkin",
            "state": "UT",
            "postal_code": "847455642",
            "country_code": "US",
            "telephone_number": "435-229-4889",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "254 S State St Ste B",
            "address_purpose": "LOCATION",
            "city": "LA Verkin",
            "state": "UT",
            "postal_code": "847455633",
            "country_code": "US",
            "telephone_number": "800-635-0165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTH STAR CENTER, LLC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTH STAR TREATMENT, LLC.",
        "enumeration_date": "2017-08-02",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "AHQUIN",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "435-229-4889",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "UT",
            "license": "51933",
            "primary": false
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "UT",
            "license": "39297",
            "primary": true
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "UT",
            "license": "39297",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Star Treatment",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "North Star Treatment Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Psychiatric Residential Treatment Facility in La Verkin, UT
• Providers in La Verkin, UT by specialty
• Psychiatric Residential Treatment Facility in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.