NORTH SIDE CENTER
NPI 1326418328
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Bountiful, UT

Active since October 02, 2015
340 N 100 W, BOUNTIFUL, UT 84010(801) 292-6797(801) 295-3660 Get Directions Write a Review

NPPES record last updated: June 8, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 8, 2023, Oct 2, 2015 (2 updates tracked since 2015).

About North Side Center NPPES

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

NORTH SIDE CENTER (NPI 1326418328) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Bountiful, Utah and active in the NPI registry since October 2015. The organization lists Misti Ann Buck, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1326418328
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameDDMS OF UTAH NO.2
Location Address340 N 100 WBountiful, UT 84010-6054
Mailing Address119 S Pacific Dr, 119American Fork, UT 84003-2196 · (801) 763-9299 · Fax (801) 763-1121
Fax(801) 295-3660
Organization SubpartNo
Authorized OfficialMisti Ann BuckDirector Of Operations · (801) 763-9299
Enumeration DateOctober 2, 2015
Last NPPES UpdateJune 8, 20232 updates tracked since enumeration
NPPES CertifiedJune 8, 2023
NPI 1326418328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
License Licensed in UT · 2015-SHCF-344
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
340 N 100 W, Bountiful, UT 84010

Other Names 1

Doing Business AsNorth Side Center

Other Identifiers 1

Medicaid2015-SHCF-344UT

Other Providers at the Same Location NPPES 2

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

Intermediate Care Facility, Intellectual Disabilities
340 N 100 W
BOUNTIFUL, UT 84010
Intermediate Care Facility, Intellectual Disabilities
340 N 100 W
BOUNTIFUL, UT 84010

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 Ddms Of Utah No.2's NPI number?

The NPI number for Ddms Of Utah No.2 is 1326418328. It was assigned to this organization in the NPPES registry on October 2, 2015. The provider is doing business as North Side Center.

Where is Ddms Of Utah No.2 located?

Ddms Of Utah No.2 is located at 340 N 100 W, Bountiful, UT 84010. The listed phone number is (801) 292-6797.

What is Ddms Of Utah No.2's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Ddms Of Utah No.2 was last updated on June 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.