Organization Active NPI

Phoenix Services Corporation

  • Developmentally Disabled Services Day Training Agency
  • Clearfield, UT
National Provider Identifier
1952570442
Registry record updated Jun 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
2008-HHA-66098 Issued in UT
Legal business name
PHOENIX SERVICES CORPORATION
Practice address
189 S State St
Suite 225
Clearfield, UT 84015-1061
Phone
(801) 825-4535
Fax
(801) 825-8281
NPI assigned
Feb 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2011

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

Authorized official

Name
Mrs. Nita Smith
Title
President
Phone
(801) 825-4535

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 2008-HHA-66098 UT Primary

Addresses

Primary practice location

189 S State St
Suite 225
Clearfield, UT 84015-1061

Mailing address

PO Box 457
189 S. State Street Suite 225
Clearfield, UT 84089-0457
Phone (801) 825-4535

National Provider Directory

National Provider Directory

Locations

189 S State St
Ste 225
Clearfield, UT 84015
Phone (801) 825-4535

NPI Registry JSON

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307923200000",
    "number": "1952570442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 457",
            "address_2": "189 S. STATE STREET SUITE 225",
            "city": "CLEARFIELD",
            "state": "UT",
            "postal_code": "840890457",
            "telephone_number": "801-825-4535",
            "fax_number": "801-825-8281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 S STATE ST",
            "address_2": "SUITE 225",
            "city": "CLEARFIELD",
            "state": "UT",
            "postal_code": "840151061",
            "telephone_number": "801-825-4535",
            "fax_number": "801-825-8281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX SERVICES CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2011-06-13",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "NITA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-825-4535",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "UT",
            "license": "2008-HHA-66098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearfield, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2011; 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.