SORENSONS RANCH SCHOOL NPI 1013991256

NPI Information

  • NPI: 1013991256
  • Provider Name: SORENSONS RANCH SCHOOL
  • Classification: Psychiatric Residential Treatment Facility - 323P00000X
  • Entity Type: Organization
  • Other Name: SORENSONS RESIDENTIAL TREATMENT CENTER
  • CLIA Number: 46D0951637
  • Address: 410 N 100 E
    KOOSHAREM, UT
    ZIP 84744
  • Phone: (435) 638-7318

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NPI Details

SORENSONS RANCH SCHOOL is a psychiatric residential treatment facility in Koosharem, UT. The provider is a residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary SORENSONS RANCH SCHOOL NPI is 1013991256. The provider is registered as an organization entity type.
The provider Other Name Is Sorensons Residential Treatment Center.

The provider's business location address is:

410 N 100 E
KOOSHAREM, UT
ZIP 84744-700
Phone: (435) 638-7318
Fax: (435) 638-7582

The provider's authorized official is Shane Sorenson .
The authorized official title is Director and has the following contact phone number (435) 638-7318.

The CLIA number assigned to this NPI record is 46D0951637 - other - residential treatment with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/1/2005 and was last updated on 8/22/2020.

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 License Number License State Primary
1323P00000XPsychiatric Residential Treatment Facility8393UTAHYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1HS727PIMEDICAIDALASKA

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: 11/21/2025

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