Organization Active NPI

Children & Youth Services, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • West Jordan, UT
National Provider Identifier
1871621920
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
11268 Issued in UT
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Children Youth Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

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.

Verify at the official NPI Registry.