BUNGALOW CARE CENTER – NPI #1063882710
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

BUNGALOW CARE CENTER is a community based residential treatment facility located in SALT LAKE CITY, UT. NPPES has assigned the NPI number 1063882710 to BUNGALOW CARE CENTER on October 06, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BUNGALOW CARE CENTER” is a dba name, the actual legal business name for this organization is RHA HEALTH SERVICE UT LLC. The primary taxonomy selected by this provider is 320900000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

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 BUNGALOW CARE CENTER below.

NPI Profile for
RHA HEALTH SERVICE UT LLC

NPI Number
1063882710
Enumeration Date

(more than 10 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
RHA HEALTH SERVICE UT LLC
Doing Business As (dba): BUNGALOW CARE CENTER
Primary location
645 S 1300 E
SALT LAKE CITY, UT 84102
Phone: (801) 582-1457 Fax: (801) 582-3901
Mailing address
119 S PACIFIC DR #109
AMERICAN FORK, UT 84003
Phone: (801) 763-9299 Fax: (801) 763-1121
Organization Subpart
No
Authorized Official
CHRISTINE CHRISTENSEN
DIRECTOR OF OPERATIONS
Phone: (801) 763-9299
Updated
Identifiers

Identifiers for BUNGALOW CARE CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDUT2015-NCF-22
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
320900000X
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)
UT 2015-NCF-22

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.