SPIRIT LAKE RANCH, LLC – NPI #1639506884
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.
SPIRIT LAKE RANCH, LLC is a substance abuse rehabilitation facility located in MONA, UT. NPPES has assigned the NPI number 1639506884 to SPIRIT LAKE RANCH, LLC on October 02, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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.
The NPI profile was previously updated about 9 years ago on Mar 29, 2017. 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 SPIRIT LAKE RANCH, LLC below.
NPI Profile for
SPIRIT LAKE RANCH, LLC
(more than 12 years ago)
MONA, UT 84645 Phone: (435) 623-2825 Fax: (435) 623-2827
MONA, UT 84645-0533 Phone: (435) 623-2825 Fax: (435) 623-2827
CEO
Phone: (801) 615-0213
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) |
||
| 253J00000X - Foster Care Agency |
UT | 20208 |
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.