Ensign Peak Services Inc. in Salt Lake City - Community Based Residential Treatment Facility, Mental Illness
Ensign Peak Services Inc. - NPI 1124139654
Ensign Peak Services Inc. is a Community Based Residential Treatment Facility, Mental Illness in Salt Lake City, Utah. Ensign Peak Services Inc. practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Mental Illness. The NPI Number for Ensign Peak Services Inc. is 1124139654. The last update date is 2020-08-22.
Ensign Peak Services Inc.'s current location address is 2880 W 4700 S, Salt Lake City, Utah. You can contact this provider via phone number 8019821404 and fax number 8019821365. The mailing address for Ensign Peak Services Inc. is 2880 W 4700 S, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Ensign Peak Services Inc. |
|---|---|
| Address | 2880 W 4700 S, Salt Lake City, Utah |
| Phone Number | 8019821404 |
| Fax Number | 8019821365 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Hussey G. Dianna |
| Telephone Number | 8019821404 |
NPI Number Detail
| NPI Number | 1124139654 |
|---|---|
| Provider Enumeration Date | 2006-08-31 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2880 W 4700 S |
|---|---|
| City | Salt Lake City |
| State | Utah (UT) |
| Post Code | 841182156 |
| Phone Number | 8019821404 |
| Fax Number | 8019821365 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
|---|---|
| Taxonomy | 320800000X |
| Licence No | 10522 AND 10 |
|
Definition: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 788007788248 | UT | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Ensign Peak Services Inc. by the Centers for Medicare & Medicaid Services?
The Ensign Peak Services Inc. has been assigned the NPI (National Provider Identifier) 1124139654 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Ensign Peak Services Inc. is physically located?
The Ensign Peak Services Inc. is physically situated at the following address: 2880 W 4700 S, Salt Lake City, UT, 841182156.
What is the area of specialization for Ensign Peak Services Inc., and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Ensign Peak Services Inc. is Community Based Residential Treatment Facility, Mental Illness, and the corresponding taxonomy code that categorizes this area of expertise is 320800000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1124139654 to Ensign Peak Services Inc.?
The Ensign Peak Services Inc. received its 1124139654 assignment from the Centers for Medicare & Medicaid Services on 2006-08-31.
As of what date was the information pertaining to Ensign Peak Services Inc., such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Ensign Peak Services Inc., including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.
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