DEER HOLLOW LAKESIDE LLC – NPI #1487160875
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.
DEER HOLLOW LAKESIDE LLC is a substance abuse rehabilitation facility located in BRIGHTON, UT. NPPES has assigned the NPI number 1487160875 to DEER HOLLOW LAKESIDE LLC on December 20, 2017. 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.
The NPI profile was previously updated about 8 years ago on Feb 23, 2018. 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 DEER HOLLOW LAKESIDE LLC below.
NPI Profile for
DEER HOLLOW LAKESIDE LLC
(more than 8 years ago)
BRIGHTON, UT 84121-1000 Phone: (801) 679-6669 Fax: (801) 203-9216
DRAPER, UT 84020-1078 Phone: (801) 679-6669 Fax: (801) 203-9216
DIRECTOR OF FINANCIAL OPERATIONS
Phone: (801) 759-1734
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) |
UT | 53992 |
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.