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RHA COMMUNITY SERVICES OF UTAH NPI 1730188459


NPI Information

NPI: 1730188459
Provider Name: RHA COMMUNITY SERVICES OF UTAH

Other Name: WESTSIDE CENTER

Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization

CLIA Number: 46D2041907

Address:
4028 S 4800 W
WEST VALLEY CITY, UT
ZIP 84120
Phone: (801) 968-8122
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RHA COMMUNITY SERVICES OF UTAH is an intermediate care facility mentally retarded in West Valley City, UT. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. RHA COMMUNITY SERVICES OF UTAH NPI is 1730188459. The provider is registered as an organization entity type.
The provider Other Name Is Westside Center.

The provider's business location address is:

4028 S 4800 W
WEST VALLEY CITY, UT
ZIP 84120-537
Phone: (801) 968-8122
Fax: (801) 968-8135

The provider's authorized official is Carole Lee Hunley .
The authorized official title is Director and has the following contact phone number (801) 968-8122.

The CLIA number assigned to this NPI record is 46D2041907 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/14/2005 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
1315P00000XIntermediate Care Facility, Intellectual Disabilities2004-SHCF-101UTAHYes

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: 4/28/2024

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