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YOUTH CARE OF UTAH INC. NPI 1083767297


NPI Information

NPI: 1083767297
Provider Name: YOUTH CARE OF UTAH, INC.

Other Name: PINE RIDGE ACADEMY

Classification: Psychiatric Residential Treatment Facility - 323P00000X
Entity Type: Organization

CLIA Number: 46D2198487

Address:
12595 MINUTEMAN DR
DRAPER, UT
ZIP 84020
Phone: (801) 572-6989
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YOUTH CARE OF UTAH, INC. is a psychiatric residential treatment facility in Draper, 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 YOUTH CARE OF UTAH, INC. NPI is 1083767297. The provider is registered as an organization entity type.
The provider Other Name Is Pine Ridge Academy.

The provider's business location address is:

12595 MINUTEMAN DR
DRAPER, UT
ZIP 84020-541
Phone: (801) 572-6989
Fax: (801) 572-8220

The provider's authorized official is Trina Packard .
The authorized official title is Executive Director and has the following contact phone number (801) 572-6989.

The CLIA number assigned to this NPI record is 46D2198487 - other - residential treatment ctr with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/19/2007 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1323P00000XPsychiatric Residential Treatment Facility12293, 12294, 12295UTAHYes

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: 4/28/2024

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