Seaglass Health,LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

SEAGLASS HEALTH,LLC

Doing business as

Seaglass Health,LLC

Practice address

9035 East 1300 South
Suite 210
Sandy, UT 84094

Phone

(382) 281-2221

Fax

(801) 999-4161

NPI assigned

Jan 19, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Christopher Mackintosh, CEO

Title

Chief Executive Director

Phone

(801) 928-0474

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Seaglass Health,LLC Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1611014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611014400000",
    "number": "1881284453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9035 EAST 1300 SOUTH",
            "address_2": "SUITE 210",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "84094",
            "telephone_number": "382-281-2221",
            "fax_number": "801-999-4161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9035 EAST 1300 SOUTH",
            "address_2": "SUITE 210",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "84094",
            "telephone_number": "382-281-2221",
            "fax_number": "801-999-4161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEAGLASS HEALTH,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-19",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-05",
        "status": "A",
        "authorized_official_last_name": "MACKINTOSH",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "801-928-0474",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUBSTANCE ABUSE AND MENTAL HEALTH",
            "identifier": "824409479",
            "state": "DE"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "KIPU",
            "affiliation": "N",
            "endpointDescription": "secure HIPPA EMR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9035 East 1300 South",
            "address_2": "Suite 210",
            "city": "Sandy",
            "state": "UT",
            "country_code": "US",
            "postal_code": "84094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Seaglass Health,LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Scope
• Kimberly Scott, FNP-C
• Penelope Sue Scow
• Rodney Raymond Scuderi, D.C.
• Britta Kristine Scullion
• Kent M. Seal, D.D.S.
• Killian Seaman
• Kathleen Angelica Seay, LCSW
• Madison Seegmiller
• Sego Lily Assisted Living

• Substance Abuse Rehabilitation Facility in Sandy, UT
• Providers in Sandy, 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 Jan 19, 2021; 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.