BRC WELLNESS LLC – NPI #1063013886
Substance Abuse Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

BRC WELLNESS LLC is a substance abuse rehabilitation facility located in SALT LAKE CITY, UT. NPPES has assigned the NPI number 1063013886 to BRC WELLNESS LLC on November 06, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

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 BRC WELLNESS LLC below.

NPI Profile for
BRC WELLNESS LLC

NPI Number
1063013886
Enumeration Date

(more than 5 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
BRC WELLNESS LLC
Primary location
4911 S 900 E STE B
SALT LAKE CITY, UT 84117-5747
Phone: (801) 676-9322 Fax: (801) 838-2100
Mailing address
1265 E FORT UNION BLVD STE 140
COTTONWOOD HEIGHTS, UT 84047-1904
Phone: (801) 849-0453 Fax: (801) 838-2100
Organization Subpart
No
Authorized Official
JONATHAN SAUL
EXECUTIVE DIRECTOR
Phone: (801) 652-7339
Updated
Certification Date
Oct 27, 2020

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
324500000X
- Substance Abuse Rehabilitation Facility (Primary)

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.