Active NPI
Children & Youth Services, Inc.
- Emotionally Disturbed Childrens' Residential Treatment Facility
- West Jordan, UT
National Provider Identifier
1871621920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment Facility
- License
- 11268
- Legal business name
- CHILDREN & YOUTH SERVICES, INC.
- Practice address
- 5500 Bagley Park Rd
West Jordan, UT 84088-5697 - Phone
- (801) 282-1000
- NPI assigned
- Mar 1, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Kenneth Allen, MBA
- Title
- Executive Director
- Phone
- (801) 282-1006
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | 11270 | UT | |
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | 11269 | UT | |
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | 11268 | UT | Primary |
Addresses
Primary practice location
5500 Bagley Park Rd
West Jordan, UT 84088-5697
Mailing address
5500 Bagley Park Rd
West Jordan, UT 84088-5697
Phone (801) 282-1000
Other names 1
- West Ridge Academy
National Provider Directory
National Provider Directory- Tax ID family
- Children Youth Services Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- West Jordan, UT
- NPI 1376772285
Locations
5500 W Bagley Park Rd
West Jordan, UT 84081
Phone (801) 282-1000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172707200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1871621920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5500 BAGLEY PARK RD",
"city": "WEST JORDAN",
"state": "UT",
"postal_code": "840885697",
"telephone_number": "801-282-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5500 BAGLEY PARK RD",
"city": "WEST JORDAN",
"state": "UT",
"postal_code": "840885697",
"telephone_number": "801-282-1000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHILDREN & YOUTH SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-01",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ALLEN",
"authorized_official_first_name": "KENNETH",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "801-282-1006",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MBA"
},
"taxonomies": [
{
"code": "322D00000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Emotionally Disturbed Children",
"state": "UT",
"license": "11270",
"primary": false
},
{
"code": "322D00000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Emotionally Disturbed Children",
"state": "UT",
"license": "11269",
"primary": false
},
{
"code": "322D00000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Emotionally Disturbed Children",
"state": "UT",
"license": "11268",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "West Ridge Academy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in West Jordan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.