PINE RIDGE ACADEMY
NPI 1083767297
Psychiatric Residential Treatment Facility in Draper, UT

Active since January 19, 2007CLIA 46D2198487 · Waiver
12595 MINUTEMAN DR, DRAPER, UT 84020(801) 572-6989(801) 572-8220 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pine Ridge Academy NPPES

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

PINE RIDGE ACADEMY (NPI 1083767297) is a healthcare organization registered as a psychiatric residential treatment facility in Draper, Utah and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through November 1, 2026 and lists Trina Packard, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1083767297
Entity TypeOrganization
Primary Taxonomy323P00000X
Legal Business NameYOUTH CARE OF UTAH, INC.
Location Address12595 MINUTEMAN DRDraper, UT 84020-9541
Mailing AddressPo Box 909Draper, UT 84020-0909 · (801) 572-6989 · Fax (801) 572-8220
Fax(801) 572-8220
Organization SubpartNo
Authorized OfficialTrina PackardExecutive Director · (801) 572-6989
Enumeration DateJanuary 19, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1083767297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatric Residential Treatment FacilityResidential Treatment Facilities
Taxonomy Code323P00000X
License Licensed in UT · 12293, 12294, 12295
Definition
A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary
12595 MINUTEMAN DR, Draper, UT 84020

Other Names 1

Other NamePine Ridge Academy

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 46D2198487

Youth Care Of Utah · Draper, UT
Active · expires Nov 1, 2026
CLIA Number46D2198487
Laboratory TypeResidential Treatment Ctr
Certificate Effective DateNovember 2, 2024
Certificate Expiration DateNovember 1, 2026
Laboratory DirectorTrina Quinney-Packard
Laboratory Phone(801) 572-6989
Laboratory LocationYouth Care Of Utah12595 S Minuteman Drive, Draper, UT 84020
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Youth Care Of Utah, Inc.'s NPI number?

The NPI number for Youth Care Of Utah, Inc. is 1083767297. It was assigned to this organization in the NPPES registry on January 19, 2007. The provider is also known as Pine Ridge Academy.

Where is Youth Care Of Utah, Inc. located?

Youth Care Of Utah, Inc. is located at 12595 Minuteman Dr, Draper, UT 84020. The listed phone number is (801) 572-6989.

What is Youth Care Of Utah, Inc.'s specialty?

The primary specialty registered for this NPI is Psychiatric Residential Treatment Facility with taxonomy code 323P00000X.

Does Youth Care Of Utah, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 46D2198487) is associated with this NPI, valid through November 1, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Youth Care Of Utah, Inc. accept?

Health plans from University of Utah Health Plans list Youth Care Of Utah, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Youth Care Of Utah, Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.