SYRACUSE RTC LLC
NPI 1740690452
Residential Treatment Facility, Emotionally Disturbed Children in Syracuse, UT

NPI Status: Active since May 02, 2014

Contact Information

2650 W 2700 S
SYRACUSE, UT
ZIP 84075
Phone: (801) 773-0200
Fax: (801) 773-0208

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  • Organization
  • Residential Treatment Facility, Emotiona...
  • CLIA Number: 46D2008389
  • CLIA Cert. Type: Other - RESIDENTIAL TREATMENT CEN
  • CLIA Exp. Date: 06-08-2028

About SYRACUSE RTC LLC

This page provides the complete NPI Profile along with additional information for Syracuse Rtc Llc, a provider established in Syracuse, Utah operating as a Residential Treatment Facility, Emotionally Disturbed Children. The healthcare provider is registered in the NPI registry with number 1740690452 assigned on May 2014. The practitioner's primary taxonomy code is 322D00000X with license number 6916 (UT). The provider is registered as an organization and their NPI record was last updated 12 years ago. The provider's other name is Syracuse Rtc Llc. The authorized official of this NPI record is Ms. Jana Randall (Billing Coordinator)

NPI
1740690452
Provider Legal Name
ELEVATIONS RTC
Other Organization Name
SYRACUSE RTC LLC
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
2650 W 2700 S SYRACUSE, UT 84075
Location Phone
(801) 773-0200
Location Fax
(801) 773-0208
Mailing Address
2650 W 2700 S SYRACUSE, UT 84075
Mailing Phone
(801) 773-0200
Mailing Fax
(801) 773-0208
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-02-2014
Last Update Date
05-02-2014
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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

Residential Treatment Facility, Emotionally Disturbed Children

Taxonomy Code
322D00000X
Type
Residential Treatment Facilities
License No.
6916
License State
UT
Taxonomy Description
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

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

MS. JANA RANDALL

Authorized Official Title
BILLING COORDINATOR
Authorized Official Phone
(801) 773-0200

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
46D2008389
Facility Type
Other - RESIDENTIAL TREATMENT CEN
Certificate Effective Date
June 09, 2026
Certificate Expiration Date
June 08, 2028
Laboratory Director
TAYLOR R. SMITH
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Syracuse Rtc Llc 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 1740690452, we treat the final digit (2) 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 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

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
7
Unchanged
Pos 3
4
Doubled → 8
Pos 4
0
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
9
Unchanged
Pos 7
0
Doubled → 0
Pos 8
4
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
2
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 4 → 8 6 → 12 → 3 0 → 0 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 8 + 0 + 1 + 2 + 9 + 0 + 4 + 1 + 0 + 24 = 58

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

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1740690452.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Counselor (Mental Health)
2650 W 2700 S
SYRACUSE, UT 84075
Psychiatric Residential Treatment Facility
2650 W 2700 S
SYRACUSE, UT 84075
Counselor (Mental Health)
2650 W 2700 S
SYRACUSE, UT 84075

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1740690452, enumerated as an "organization" on May 02, 2014.

The provider is located at 2650 W 2700 S SYRACUSE, UT 84075 and the phone number is (801) 773-0200.

Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.