UTAH ADVOCACY NETWORK NPI 1952792004

NPI Information

  • NPI: 1952792004
  • Provider Name: UTAH ADVOCACY NETWORK
  • Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
  • Entity Type: Organization
  • Other Name: SYRACUSE SUPPORTED LIVING (UAN-SSL)
  • Address: 2075 SOUTH BLUFF ROAD
    SYRACUSE, UT
    ZIP 84075
  • Phone: (801) 776-1380

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NPI Details

UTAH ADVOCACY NETWORK is a community based residential treatment facility, intellectual and/or developmental disabilities in Syracuse, 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. UTAH ADVOCACY NETWORK NPI is 1952792004. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Syracuse Supported Living (uan-ssl).

The provider's business location address is:

2075 SOUTH BLUFF ROAD
SYRACUSE, UT
ZIP 84075-214
Phone: (801) 776-1380
Fax: (801) 784-4900

The provider's authorized official is David B. Andreasen .
The authorized official title is Owner and has the following contact phone number (801) 643-2866.

The enumeration date for this NPI number is 2/11/2015 and was last updated on 5/2/2017.

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
1163W00000XRegistered Nurse189610-3102-20170122UTAHNo
2320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1HT007851-001OTHERUTAHUHIN-TRADING PARTNER NUMBER
25107101201MEDICAIDUTAH

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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