EXTENDED FAMILY, INC.
NPI 1215068267
Residential Treatment Facility, Emotionally Disturbed Children in Spanish Fork, UT

Active since March 08, 2007
704 N STATE ROAD 51, SPANISH FORK, UT 84660(801) 794-0318(801) 794-9514 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Extended Family, Inc. NPPES

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

EXTENDED FAMILY, INC. (NPI 1215068267) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Spanish Fork, Utah and active in the NPI registry since March 2007. The organization lists Paul Wiederhold, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1215068267
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NameEXTENDED FAMILY, INC.
Location Address704 N STATE ROAD 51Spanish Fork, UT 84660-1385
Mailing Address704 N State Road 51Spanish Fork, UT 84660-1385 · (801) 794-0318 · Fax (801) 794-9514
Fax(801) 794-9514
Organization SubpartNo
Authorized OfficialPaul WiederholdExecutive Director · (801) 794-0318
Enumeration DateMarch 8, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1215068267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities
Taxonomy Code322D00000X
License Licensed in UT · 12040
Definition

A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

704 N STATE ROAD 51, Spanish Fork, UT 84660

Other Identifiers 1

Medicaid788007788033UT

Other Providers at the Same Location NPPES 16

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

Foster Care Agency
704 N STATE ROAD 51
SPANISH FORK, UT 84660
Residential Treatment Facility, Emotionally Disturbed Children
704 N STATE ROAD 51
SPANISH FORK, UT 84660
Foster Care Agency
704 N STATE ROAD 51
SPANISH FORK, UT 84660
Foster Care Agency
704 N STATE ROAD 51
SPANISH FORK, UT 84660
Foster Care Agency
704 N STATE ROAD 51
SPANISH FORK, UT 84660
Foster Care Agency
704 N STATE ROAD 51
SPANISH FORK, UT 84660
Foster Care Agency
704 N STATE ROAD 51
SPANISH FORK, UT 84660
Foster Care Agency
704 N STATE ROAD 51
SPANISH FORK, UT 84660

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 Extended Family, Inc.'s NPI number?

The NPI number for Extended Family, Inc. is 1215068267. It was assigned to this organization in the NPPES registry on March 8, 2007.

Where is Extended Family, Inc. located?

Extended Family, Inc. is located at 704 N State Road 51, Spanish Fork, UT 84660. The listed phone number is (801) 794-0318.

What is Extended Family, Inc.'s specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

When was this NPI record last updated?

The NPPES record for Extended Family, Inc. was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.