Innerchange Oakley, LLC

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

Legal business name

INNERCHANGE OAKLEY, LLC

Practice address

251 West Weber Canyon Road
Oakley, UT 84055-0357

Phone

(433) 783-5010

NPI assigned

Aug 5, 2013

Last updated

Aug 5, 2013By the provider in NPPES

Organization subpart

Yes

Parent organization

SOLACIUM HOLDINGS, LLCAs reported in NPPES

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

Authorized official

Name

Lance Davis

Title

President

Phone

(877) 282-4782

Specialties & licenses 1

Addresses

Part of

Solacium Holding LLC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Solacium Holdings, LLC

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Springville, UT
  • NPI 1891305629
  NPPES parent name

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

{
    "created_epoch": "1375660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375660800000",
    "number": "1972935625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "661 EAST TECHNOLOGY AVENUE",
            "address_2": "BUILDING B, SUITE 1100",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840976209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 WEST WEBER CANYON ROAD",
            "city": "OAKLEY",
            "state": "UT",
            "postal_code": "840550357",
            "telephone_number": "433-783-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNERCHANGE OAKLEY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOLACIUM HOLDINGS, LLC",
        "enumeration_date": "2013-08-05",
        "last_updated": "2013-08-05",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "LANCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "877-282-4782"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colina Oakley Opco, LLC (Elk Meadows Assisted Living & Memory Care)
• Sidney Elizabeth Davis
• Elk Meadows Assisted Living, LLC
• Evans Weiss, LLC Dba Tranquil Mind Counseling (Tranquil Mind Counseling)
• Lisa Hampshire, LCSW
• Syau-Fu Ma, MD
• Roxi Nelson, LCSW
• Oakley School
• Coady Schueler, PSYD
• Utah Health Operations LLC (Newport Academy-Oakley)

• Psychiatric Residential Treatment Facility in Oakley, UT
• Providers in Oakley, UT by specialty
• Psychiatric Residential Treatment Facility in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2013; 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.