PINE RIDGE BEHAVIORAL HEALTH LLC – NPI #1366863185
Community Based Residential Treatment Facility, Mental Illness

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Health Care Provider Taxonomy Code for Community Based Residential Treatment Facility, Mental Illness

PINE RIDGE BEHAVIORAL HEALTH LLC is a community based residential treatment facility located in FAIRVIEW, UT. NPPES has assigned the NPI number 1366863185 to PINE RIDGE BEHAVIORAL HEALTH LLC on December 20, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320800000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Mental Illness.

The NPI profile was last updated on Jun 18, 2024. 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 PINE RIDGE BEHAVIORAL HEALTH LLC below.

NPI Profile for
PINE RIDGE BEHAVIORAL HEALTH LLC

NPI Number
1366863185
Enumeration Date

(more than 12 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
PINE RIDGE BEHAVIORAL HEALTH LLC
Primary location
10380 EAST 22000 NORTH
FAIRVIEW, UT 84629
Phone: (435) 469-0342 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JAMES CHENEY
OWNER
Phone: (435) 469-0342
Updated
Certification Date
Jun 18, 2024

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
320800000X
- Community Based Residential Treatment Facility, Mental Illness (Primary)		 UT 21289

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.