Care Treatment And Recreation
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Sandy, UT. Organization (NPI-2).
NPI number1073662284
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1073662284
- Entity type
- Organization (NPI-2)
- Legal business name
- Care Treatment And Recreation
- Organization subpart
- No
- Enumeration date
- Jan 9, 2007
- Last updated
- Aug 22, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
Other names
- Ctr (Other Name)
Practice location
2057 Meadowlark WaySandy, UT 84093
Phone 801-699-8765
Mailing address
2057 Meadowlark WaySandy, UT 84093
Phone 801-699-8765
Authorized official
Corey Lynn Headman
Cfo
8016998765
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