ELEVATIONS RTC NPI 1740690452

NPI Information

  • NPI: 1740690452
  • Provider Name: ELEVATIONS RTC
  • Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
  • Entity Type: Organization
  • Other Name: SYRACUSE RTC LLC
  • CLIA Number: 46D2008389
  • Address: 2650 W 2700 S
    SYRACUSE, UT
    ZIP 84075
  • Phone: (801) 773-0200

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NPI Details

ELEVATIONS RTC is a residential treatment facility emotionally disturbed children in Syracuse, 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. ELEVATIONS RTC NPI is 1740690452. The provider is registered as an organization entity type.
The provider Other Name Is Syracuse Rtc Llc.

The provider's business location address is:

2650 W 2700 S
SYRACUSE, UT
ZIP 84075-013
Phone: (801) 773-0200
Fax: (801) 773-0208

The provider's authorized official is Jana Randall .
The authorized official title is Billing Coordinator and has the following contact phone number (801) 773-0200.

The CLIA number assigned to this NPI record is 46D2008389 - other - residential treatment cen with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/2/2014 and was last updated on 5/2/2014.

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 Children6916UTAHYes

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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