CORNER CANYON RECOVERY, LLC
NPI 1730843293
Psychiatric Residential Treatment Facility in Draper, UT
- Organization
- Psychiatric Residential Treatment Facili...
About CORNER CANYON RECOVERY, LLC
This page provides the complete NPI Profile along with additional information for Corner Canyon Recovery, Llc, a provider established in Draper, Utah operating as a Psychiatric Residential Treatment Facility. The healthcare provider is registered in the NPI registry with number 1730843293 assigned on October 2021. The practitioner's primary taxonomy code is 323P00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Corner Canyon Recovery, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Mr. Bradley Randall Christensen (Chief People Officer)
- NPI
- 1730843293 Verify this NPI
- Provider Name
- CORNER CANYON RECOVERY, LLC
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 13020 S FORT ST DRAPER, UT 84020
- Location Phone
- (801) 994-6735
- Location Fax
- (801) 384-0820
- Mailing Address
- 13020 S FORT ST DRAPER, UT 84020
- Mailing Phone
- (801) 994-1849
- Mailing Fax
- (801) 384-0820
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 10-29-2021
- Last Update Date
- 02-13-2025
- Code Navigator
Location Map
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
- 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
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | |
| 2 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | |
| 3 | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker | |
| 4 | 106H00000X | Behavioral Health & Social Service Providers | Marriage & Family Therapist | |
| 5 | 133N00000X | Dietary & Nutritional Service Providers | Nutritionist | |
| 6 | 133V00000X | Dietary & Nutritional Service Providers | Dietitian, Registered | |
| 7 | 163W00000X | Nursing Service Providers | Registered Nurse | |
| 8 | 171M00000X | Other Service Providers | Case Manager/Care Coordinator | |
| 9 | 261QM1300X | Ambulatory Health Care Facilities | Clinic/Center | |
| 10 | 261QR0405X | Ambulatory Health Care Facilities | Clinic/Center | |
| 11 | 324500000X | Residential Treatment Facilities | Substance Abuse Rehabilitation Facility | |
| 12 | 363LA2100X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | |
| 13 | 363LP0808X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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 |
|---|---|---|---|
| 107411 | OTHER (01) | UT | STATE LICENSE |
| 107410 | OTHER (01) | UT | STATE LICENSE |
| 107170 | OTHER (01) | UT | STATE LICENSE |
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
DRAPER, UT 84020
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1730843293, enumerated as an "organization" on October 29, 2021.
The provider is located at 13020 S FORT ST DRAPER, UT 84020 and the phone number is (801) 994-6735.
Psychiatric Residential Treatment Facility with taxonomy code 323P00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.