VALLEY MENTAL HEALTH INCORPORATED – NPI #1316009228
Residential Treatment Facility, Physical Disabilities

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.

VALLEY MENTAL HEALTH INCORPORATED is a residential treatment facility (RTF) located in SALT LAKE CITY, UT. NPPES has assigned the NPI number 1316009228 to VALLEY MENTAL HEALTH INCORPORATED on December 15, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. VALLEY MENTAL HEALTH INCORPORATED is also known by the name VMH - PHEASANT HOLLOW. The primary taxonomy selected by this provider is 320700000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Physical Disabilities.

The NPI profile was previously updated about 5 years ago on Jan 21, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for VALLEY MENTAL HEALTH INCORPORATED below.

NPI Profile for
VALLEY MENTAL HEALTH INCORPORATED

NPI Number
1316009228
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
VALLEY MENTAL HEALTH INCORPORATED
Other Name: VMH - PHEASANT HOLLOW
Primary location
4125 S 900 E
SALT LAKE CITY, UT 84124-1112
Phone: (801) 743-6111 Fax:
Mailing address
PO BOX 572070
SALT LAKE CITY, UT 84157-2070
Phone: (801) 263-7138 Fax: (801) 263-7203
Organization Subpart
No
Authorized Official
GARY LARCENAIRE
CHIEF EXECUTIVE OFFICER
Phone: (801) 263-7186
Updated
Certification Date
Jan 21, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320700000X
- Residential Treatment Facility, Physical Disabilities (Primary)
UT 12009

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.