BLUE SAGE YOUTH SERVICES NPI 1265632939

NPI Information

  • NPI: 1265632939
  • Provider Name: BLUE SAGE YOUTH SERVICES
  • Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
  • Entity Type: Organization
  • Address: 580 WEST 1500 SOUTH
    MANTI, UT
    ZIP 84648
  • Phone: (435) 835-4053

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NPI Details

BLUE SAGE YOUTH SERVICES is a residential treatment facility emotionally disturbed children in Manti, UT. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. BLUE SAGE YOUTH SERVICES NPI is 1265632939. The provider is registered as an organization entity type.

The provider's business location address is:

580 WEST 1500 SOUTH
MANTI, UT
ZIP 84648
Phone: (435) 835-4053

The provider's authorized official is Kelly C. Husbands .
The authorized official title is Program Director and has the following contact phone number (435) 835-4053.

The enumeration date for this NPI number is 7/20/2007 and was last updated on 7/20/2007.

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
1322D00000XResidential Treatment Facility, Emotionally Disturbed Children12439UTAHYes

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: 3/30/2025

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