AVALON HILLS HEALTH CARE, INC
NPI 1619079779
Psychiatric Residential Treatment Facility in Paradise, UT

NPI Status: Active since September 01, 2006

Contact Information

8530 S 500 W
PARADISE, UT
ZIP 84328
Phone: (435) 938-6060

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  • Organization
  • Psychiatric Residential Treatment Facili...
  • CLIA Number: 46D2013540
  • CLIA Cert. Type: Other - RESIDENTIAL TREATMENT
  • CLIA Exp. Date: 09-20-2026

About AVALON HILLS HEALTH CARE, INC

This page provides the complete NPI Profile along with additional information for Avalon Hills Health Care, Inc, a provider established in Paradise, Utah operating as a Psychiatric Residential Treatment Facility. The healthcare provider is registered in the NPI registry with number 1619079779 assigned on September 2006. The practitioner's primary taxonomy code is 323P00000X with license number 11544 (UT). The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Benita J Quakenbush (Owner)

NPI
1619079779
Provider Name
AVALON HILLS HEALTH CARE, INC
Entity Type
Organization
Location Address
8530 S 500 W PARADISE, UT 84328
Location Phone
(435) 938-6060
Mailing Address
PO BOX 790102 VERNAL, UT 84079
Mailing Phone
(435) 789-3865
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-01-2006
Last Update Date
05-20-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatric Residential Treatment Facility

Taxonomy Code
323P00000X
Type
Residential Treatment Facilities
License No.
11544
License State
UT
Taxonomy Description
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

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

BENITA J QUAKENBUSH

Authorized Official Title
OWNER
Authorized Official Phone
(435) 938-6060

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
82090000000001OTHER (01)UTBLUE CROSS BLUE SHIELD

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
46D2013540
Facility Type
Other - RESIDENTIAL TREATMENT
Certificate Effective Date
September 21, 2024
Certificate Expiration Date
September 20, 2026
Laboratory Director
CHAD SPETH
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Avalon Hills Health Care, Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1619079779, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
1
Doubled → 2
Pos 4
9
Unchanged
Pos 5
0
Doubled → 0
Pos 6
7
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
7
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 0 → 0 9 → 18 → 9 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 2 + 9 + 0 + 7 + 1 + 8 + 7 + 1 + 4 + 24 = 71

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 71 is 80. The difference is the calculated check digit.

80 - 71 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1619079779.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Nurse Practitioner (Family)
8530 S 500 W
PARADISE, UT 84328

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619079779, enumerated as an "organization" on September 01, 2006.

The provider is located at 8530 S 500 W PARADISE, UT 84328 and the phone number is (435) 938-6060.

Psychiatric Residential Treatment Facility with taxonomy code 323P00000X.

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.