SUNDANCE CANYON ACADEMY NPI 1396018917

NPI Information

  • NPI: 1396018917
  • Provider Name: SUNDANCE CANYON ACADEMY
  • Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
  • Entity Type: Organization
  • Address: 6948 DUSTY ROSE DR
    HERRIMAN, UT
    ZIP 84096
  • Phone: (801) 446-6206

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NPI Details

SUNDANCE CANYON ACADEMY is a residential treatment facility emotionally disturbed children in Herriman, 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. SUNDANCE CANYON ACADEMY NPI is 1396018917. The provider is registered as an organization entity type.

The provider's business location address is:

6948 DUSTY ROSE DR
HERRIMAN, UT
ZIP 84096-710
Phone: (801) 446-6206
Fax: (801) 446-6978

The provider's authorized official is Simon Timms .
The authorized official title is Therapist and has the following contact phone number (801) 446-6206.

The enumeration date for this NPI number is 2/13/2012 and was last updated on 2/13/2012.

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 Children18666UTAHYes

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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