Avante Recovery Center, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

AVANTE RECOVERY CENTER, LLC

Doing business as

Avante Recovery Center

Practice address

848 E 1475 N
Lehi, UT 84043-3568

Phone

(801) 550-0750

NPI assigned

Dec 11, 2019

Last updated

Dec 30, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

AVANTE RECOVERY CENTER, LLCAs reported in NPPES

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

Authorized official

Name

Dwayne Nielson

Title

Managing Owner

Phone

(801) 550-0750

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 2

• Avante Recovery Center Doing business as
• Avante Treatment Center, LLC Former legal business name

Part of

Avante Recovery Center LLC

Locations

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

{
    "created_epoch": "1576022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577664000000",
    "number": "1992343834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 E EXCHANGE PL STE 600",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841112774",
            "telephone_number": "801-550-0750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "848 E 1475 N",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840433568",
            "telephone_number": "801-550-0750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVANTE RECOVERY CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AVANTE RECOVERY CENTER, LLC",
        "enumeration_date": "2019-12-11",
        "last_updated": "2019-12-30",
        "certification_date": "2019-12-30",
        "status": "A",
        "authorized_official_last_name": "NIELSON",
        "authorized_official_first_name": "DWAYNE",
        "authorized_official_title_or_position": "MANAGING OWNER",
        "authorized_official_telephone_number": "801-550-0750"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HUMAN SERVICES - DETOXIFICATION LICENSE",
            "identifier": "84458",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HUMAN SERVICES - OUTPATIENT LICENSE",
            "identifier": "84460",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HUMAN SERVICES - RESIDENTIAL LICENSE",
            "identifier": "82232",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HUMAN SERVICES - DAY TREATMENT LICENSE",
            "identifier": "84459",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avante Recovery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Avante Treatment Center, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Substance Abuse Rehabilitation Facility in Lehi, UT
• Providers in Lehi, 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 Dec 30, 2019; 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.