ENSIGN PEAK SERVICES INC. NPI 1124139654

NPI Information

NPI: 1124139654
Provider Name: ENSIGN PEAK SERVICES INC.
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
2880 W 4700 S
SUITE B
SALT LAKE CITY, UT
ZIP 84118
Phone: (801) 982-1404
Get Directions

ENSIGN PEAK SERVICES INC. is a community based residential treatment facility mental illness in Salt Lake City, UT. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. ENSIGN PEAK SERVICES INC. NPI is 1124139654. The provider is registered as an organization entity type.

The provider's business location address is:

2880 W 4700 S
SUITE B
SALT LAKE CITY, UT
ZIP 84118-156
Phone: (801) 982-1404
Fax: (801) 982-1365

The provider's authorized official is Dianna G. Hussey .
The authorized official title is Executive Director and has the following contact phone number (801) 982-1404.

The enumeration date for this NPI number is 8/31/2006 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
1	320800000X	Community Based Residential Treatment Facility, Mental Illness		10522 AND 10523	UTAH	Yes

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
1	788007788248	MEDICAID	UTAH

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: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »