HOMERUN CRISIS INTERVENTION SERVICES LLC NPI 1407529720

NPI Information

NPI: 1407529720
Provider Name: HOMERUN CRISIS INTERVENTION SERVICES LLC
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
205 QUARTER CIR
NIBLEY, UT
ZIP 84321
Phone: (855) 660-7200
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HOMERUN CRISIS INTERVENTION SERVICES LLC is a health service clinic center in Nibley, UT. HOMERUN CRISIS INTERVENTION SERVICES LLC NPI is 1407529720. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

205 QUARTER CIR
NIBLEY, UT
ZIP 84321-317
Phone: (855) 660-7200

The provider's authorized official is Angela Marie Garner .
The authorized official title is Coo and has the following contact phone number (435) 452-2662.

The enumeration date for this NPI number is 8/2/2021 and was last updated on 8/2/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	163WP0808X	Registered Nurse	Psychiatric/Mental Health	No
2	163WC0400X	Registered Nurse	Case Management	No
3	163WA0400X	Registered Nurse	Addiction (Substance Use Disorder)	No
4	261QM0850X	Clinic/Center	Adult Mental Health	No
5	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	No
6	261QH0100X	Clinic/Center	Health Service	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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