NPIMap

Haven Home for Girls

Organization Active NPI Emotionally Disturbed Childrens' Residential Treatment Facility · Orem, UT

NPI 1982983177 · NPPES record last updated Aug 5, 2011

Key facts

NPI
1982983177
Entity type
Organization (NPI type 2)
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X
Legal business name
HAVEN HOME FOR GIRLS
Practice address
846 High Country Dr
Orem, UT 84097-2369
Phone
(801) 224-4632
Fax
(801) 850-9354
NPI assigned
Aug 5, 2011
Organization subpart
No

Authorized official

Name
Myrna Dalton NPI 1598044786
Title
Exec. Dir.
Phone
(801) 494-7773

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Corporate family (same tax ID) 1

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

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Haven Home for Girls (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X Yes

Addresses

Primary practice location

846 High Country Dr
Orem, UT 84097-2369

Mailing address

PO Box 728
Spanish Fork, UT 84660-0728
Phone (801) 224-4632

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 5, 2011.

{
    "created_epoch": "1312502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312502400000",
    "number": "1982983177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 728",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846600728",
            "telephone_number": "801-224-4632",
            "fax_number": "801-850-9354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "846 HIGH COUNTRY DR",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840972369",
            "telephone_number": "801-224-4632",
            "fax_number": "801-850-9354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN HOME FOR GIRLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-05",
        "last_updated": "2011-08-05",
        "status": "A",
        "authorized_official_last_name": "DALTON",
        "authorized_official_first_name": "MYRNA",
        "authorized_official_title_or_position": "EXEC. DIR.",
        "authorized_official_telephone_number": "801-494-7773"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orem, UT

All providers in Orem, UT · Emotionally Disturbed Childrens' Residential Treatment Facility in Utah

Sources for this page

Verify at the official NPI Registry.