ALTIUM HEALTH LLC – NPI #1235787870
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.

Health Care Provider Taxonomy Code for Substance Abuse Rehabilitation Facility

ALTIUM HEALTH LLC is a substance abuse rehabilitation facility located in WEST JORDAN, UT. NPPES has assigned the NPI number 1235787870 to ALTIUM HEALTH LLC on August 27, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The former legal business name for this organization is SUNDANCE BEHAVIORAL HEALTH LLC. With multiple taxonomy codes selected, 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. Keep in mind, having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was previously updated about 3 years ago on May 16, 2023. 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 ALTIUM HEALTH LLC below.

NPI Profile for
ALTIUM HEALTH LLC

NPI Number
1235787870
Enumeration Date

(about 7 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
ALTIUM HEALTH LLC
Former Legal Business Name: SUNDANCE BEHAVIORAL HEALTH LLC
Primary location
7181 S CAMPUS VIEW DR
WEST JORDAN, UT 84084-4312
Phone: (425) 890-4777 Fax:
Mailing address
7181 S CAMPUS VIEW DR STE 1A
WEST JORDAN, UT 84084-4312
Phone: Fax:
Organization Subpart
No
Authorized Official
SIAMAK KHADJENOURY
CEO
Phone: (801) 613-9843
Updated
Certification Date
May 16, 2023

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)
363A00000X
- Physician Assistant
261QM1300X
- Clinic/Center / Multi-Specialty
2084P0802X
- Psychiatry & Neurology / Addiction Psychiatry
2084P0800X
- Psychiatry & Neurology / Psychiatry
2084A0401X
- Psychiatry & Neurology / Addiction Medicine
207LA0401X
- Anesthesiology / Addiction Medicine
175T00000X
- Peer Specialist
171M00000X
- Case Manager/Care Coordinator
106H00000X
- Marriage & Family Therapist
1041C0700X
- Social Worker / Clinical
103TB0200X
- Psychologist / Cognitive & Behavioral
101YM0800X
- Counselor / Mental Health
101YA0400X
- Counselor / Addiction (Substance Use Disorder)

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.