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SPIRIT LAKE RANCH, LLC
NPI 1639506884
Substance Abuse Rehabilitation Facility in Mona, UT

Active since October 02, 2013
525 W 200 N, MONA, UT 84645(435) 623-2825(435) 623-2827 Get Directions Write a Review

NPPES record last updated: March 29, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 29, 2017, May 9, 2016, Nov 12, 2015 (3 updates tracked since 2015).

About Spirit Lake Ranch, Llc NPPES

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

SPIRIT LAKE RANCH, LLC (NPI 1639506884) is a healthcare organization registered as a substance abuse rehabilitation facility in Mona, Utah and active in the NPI registry since October 2013. The organization lists Tyler Patching, Ceo, as its authorized official.

NPPES Registry Identity

NPI1639506884
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameSPIRIT LAKE RANCH, LLC
Location Address525 W 200 NMona, UT 84645
Mailing AddressPo Box 533Mona, UT 84645-0533 · (435) 623-2825 · Fax (435) 623-2827
Phone(435) 623-2825
Fax(435) 623-2827
Organization SubpartYesParent: The Journey
Authorized OfficialTyler PatchingCeo · (801) 615-0213
Enumeration DateOctober 2, 2013
Last NPPES UpdateMarch 29, 20173 updates tracked since enumeration
✔ NPI 1639506884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Also ListedFoster Care AgencyTaxonomy 253J00000X · License 20208 (UT)
525 W 200 N, Mona, UT 84645
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Other Providers at the Same Location NPPES 17

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

ALEXANDER ATWOOD
Counselor
525 W 200 N
MONA, UT 84645
Juab County (801) 375-4240
KYLE ORLAND LOVERIDGE
Counselor
525 W 200 N
MONA, UT 84645
Juab County (801) 375-4240
NEFI D ARIZA
Counselor
525 W 200 N
MONA, UT 84645
Juab County (801) 375-4240
DILLON ANDERSON
Counselor
525 W 200 N
MONA, UT 84645
Juab County (801) 375-4240
MEGAN PERKINS
Counselor
525 W 200 N
MONA, UT 84645
Juab County (435) 623-2825
JAROM JOHNSON
Counselor
525 W 200 N
MONA, UT 84645
Juab County (801) 375-4240
JASON JOHNSON
Counselor
525 W 200 N
MONA, UT 84645
Juab County (801) 375-4240
MONICA G GIBB
Counselor
525 W 200 N
MONA, UT 84645
Juab County (801) 375-4240

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 Spirit Lake Ranch, LLC's NPI number?

The NPI number for Spirit Lake Ranch, LLC is 1639506884. It was assigned to this organization in the NPPES registry on October 2, 2013.

Where is Spirit Lake Ranch, LLC located?

Spirit Lake Ranch, LLC is located at 525 W 200 N, Mona, UT 84645. The listed phone number is (435) 623-2825.

What is Spirit Lake Ranch, LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Spirit Lake Ranch, LLC was last updated on March 29, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.