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BUNGALOW CARE CENTER
NPI 1245230820
Intermediate Care Facility, Intellectual Disabilities in Salt Lake City, UT

Active since July 26, 2005
645 S 1300 E, SALT LAKE CITY, UT 84102(801) 582-1457(801) 582-3901 Get Directions Write a Review

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

About Bungalow Care Center NPPES

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

BUNGALOW CARE CENTER (NPI 1245230820) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Salt Lake City, Utah and active in the NPI registry since July 2005. The organization lists Jacklynn Ivy Hughes, Administrator, as its authorized official.

NPPES Registry Identity

NPI1245230820
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameRHA COMMUNITY SERVICES OF UTAH
Location Address645 S 1300 ESalt Lake City, UT 84102-3206
Mailing Address645 S 1300 ESalt Lake City, UT 84102-3206 · (801) 582-1457 · Fax (801) 582-3901
Phone(801) 582-1457
Fax(801) 582-3901
Organization SubpartNo
Authorized OfficialJacklynn Ivy HughesAdministrator · (801) 582-8097
Enumeration DateJuly 26, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1245230820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
License✔ Licensed in UT · 2004-NCF-22
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
645 S 1300 E, Salt Lake City, UT 84102
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Other Names 1

Doing Business AsBungalow Care Center

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 HEALTH SERVICE UT LLC
Community Based Residential Treatment Facility, Intellectual and/or Developmental 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 Community Services Of Utah's NPI number?

The NPI number for Rha Community Services Of Utah is 1245230820. It was assigned to this organization in the NPPES registry on July 26, 2005. The provider is doing business as Bungalow Care Center.

Where is Rha Community Services Of Utah located?

Rha Community Services Of Utah is located at 645 S 1300 E, Salt Lake City, UT 84102. The listed phone number is (801) 582-1457.

What is Rha Community Services Of Utah's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

When was this NPI record last updated?

The NPPES record for Rha Community Services Of Utah was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.