NPIMap

Organization Active NPI

Lifeskills Vocational Center

  • Developmentally Disabled Services Day Training Agency
  • Salt Lake City, UT
National Provider Identifier
1962492504
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
19967974 Issued in UT
Legal business name
LIFESKILLS VOCATIONAL CENTER
Practice address
1656 W 1500 S
Salt Lake City, UT 84104
Phone
(801) 977-3732
Fax
(801) 977-3751
NPI assigned
Oct 25, 2005
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
Mrs. Jeanie Pettit, ADMINISTRATOR CEO
Title
Manager
Phone
(801) 554-6992

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 19967974 UT Primary

Addresses

Primary practice location

1656 W 1500 S
Salt Lake City, UT 84104

Mailing address

15173 Rose Canyon Rd
Herriman, UT 84065-4482
Phone (801) 554-6992

National Provider Directory

National Provider Directory
Tax ID family
Life Skills Vocational Center2 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.

NPI Registry JSON

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962492504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15173 ROSE CANYON RD",
            "city": "HERRIMAN",
            "state": "UT",
            "postal_code": "840654482",
            "telephone_number": "801-554-6992",
            "fax_number": "801-977-3751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1656 W 1500 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84104",
            "telephone_number": "801-977-3732",
            "fax_number": "801-977-3751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESKILLS VOCATIONAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PETTIT",
        "authorized_official_first_name": "JEANIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "801-554-6992",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ADMINISTRATOR CEO"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "UT",
            "license": "19967974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, 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.