KOSTOPULOS DREAM FOUNDATION NPI 1427115245

NPI Information

  • NPI: 1427115245
  • Provider Name: KOSTOPULOS DREAM FOUNDATION
  • Classification: Respite Care - 385HR2050X
  • Specialization: Respite Care Camp
  • Entity Type: Organization
  • Other Name: CAMP KOSTOPULOS
  • Address: 2500 EMIGRATION CYN
    SALT LAKE CITY, UT
    ZIP 84108
  • Phone: (801) 582-0700

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NPI Details

KOSTOPULOS DREAM FOUNDATION is a respite care camp respite care in Salt Lake City, UT. The provider is a camping facility that provides specialized respite care to individuals requiring enhanced services to enable them to remain in the community, (e.g., those with developmental delays, intellectual disabilities, mental/behavioral disorders). The staff must have training in working with the target populations and dealing with emergency situations which might be related to or exacerbate the individual's condition. KOSTOPULOS DREAM FOUNDATION NPI is 1427115245. The provider is registered as an organization entity type.
The provider Other Name Is Camp Kostopulos.

The provider's business location address is:

2500 EMIGRATION CYN
SALT LAKE CITY, UT
ZIP 84108-517
Phone: (801) 582-0700
Fax: (801) 583-5176

The provider's authorized official is Gary Ethington .
The authorized official title is Executive Director and has the following contact phone number (801) 582-0700.

The enumeration date for this NPI number is 1/2/2007 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1385HR2050XRespite CareRespite Care CampC126UTAHYes

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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