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BUNGALOW CARE CENTER
NPI 1063882710
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Salt Lake City, UT

Active since October 06, 2015
645 S 1300 E, SALT LAKE CITY, UT 84102(801) 582-1457(801) 582-3901 Get Directions Write a Review

NPPES record last updated: October 6, 2015. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Bungalow Care Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BUNGALOW CARE CENTER (NPI 1063882710) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Salt Lake City, Utah and active in the NPI registry since October 2015. The organization lists Christine L Christensen, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1063882710
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameRHA HEALTH SERVICE UT LLC
Location Address645 S 1300 ESalt Lake City, UT 84102
Mailing Address119 S Pacific Dr #109American Fork, UT 84003 · (801) 763-9299 · Fax (801) 763-1121
Phone(801) 582-1457
Fax(801) 582-3901
Organization SubpartNo
Authorized OfficialChristine L ChristensenDirector Of Operations · (801) 763-9299
Enumeration DateOctober 6, 2015
✔ NPI 1063882710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
License✔ Licensed in UT · 2015-NCF-22
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
645 S 1300 E, Salt Lake City, UT 84102
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Other Names 1

Doing Business AsBungalow Care Center

Other Identifiers 1

Medicaid2015-NCF-22UT

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RHA COMMUNITY SERVICES OF UTAH
Intermediate Care Facility, Intellectual Disabilities
645 S 1300 E
SALT LAKE CITY, UT 84102
Salt Lake County (801) 582-1457
MR. SHANE MAYLIN PITCHER LCSW
Social Worker (Clinical)
645 S 1300 E
SALT LAKE CITY, UT 84102
Salt Lake County (385) 227-8565
WILLIAM HAGEE
Community Health Worker
645 S 1300 E
SALT LAKE CITY, UT 84102
Salt Lake County (385) 500-2024
NATASHA MEINE WORKMAN
Case Manager/Care Coordinator
645 S 1300 E
SLC, UT 84102
Salt Lake County (801) 462-4582
MIRANDA DEANNA MORRIS
Case Manager/Care Coordinator
645 S 1300 E
SALT LAKE CITY, UT 84102
Salt Lake County (385) 500-2020

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rha Health Service Ut LLC's NPI number?

The NPI number for Rha Health Service Ut LLC is 1063882710. It was assigned to this organization in the NPPES registry on October 6, 2015. The provider is doing business as Bungalow Care Center.

Where is Rha Health Service Ut LLC located?

Rha Health Service Ut LLC is located at 645 S 1300 E, Salt Lake City, UT 84102. The listed phone number is (801) 582-1457.

What is Rha Health Service Ut LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Rha Health Service Ut LLC was last updated on October 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.