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SPECIALIZED SUPPORTED LIVING SERVICES INC NPI 1568578185


NPI Information

NPI: 1568578185
Provider Name: SPECIALIZED SUPPORTED LIVING SERVICES, INC

Doing Business As: S.S.L.S., INC

Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
774 W 2275 N
LAYTON, UT
ZIP 84041
Phone: (801) 814-0506
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SPECIALIZED SUPPORTED LIVING SERVICES, INC is a community based residential treatment facility, intellectual and/or developmental disabilities in Layton, UT. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. SPECIALIZED SUPPORTED LIVING SERVICES, INC NPI is 1568578185. The provider is registered as an organization entity type.
The provider Is Doing Business As S.s.l.s., Inc.

The provider's business location address is:

774 W 2275 N
LAYTON, UT
ZIP 84041-306
Phone: (801) 814-0506
Fax: (801) 991-3560

The provider's authorized official is Kathi J Sutton .
The authorized official title is Executive Director/president and has the following contact phone number (801) 814-0506.

The enumeration date for this NPI number is 8/23/2006 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities56415640140UTAHYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10285MEDICAIDUTAH
2*0287MEDICAIDUTAH

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

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