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

Active since May 02, 2014CLIA 46D2008389 · Waiver
2650 W 2700 S, SYRACUSE, UT 84075(801) 773-0200(801) 773-0208 Get Directions Write a Review

NPPES record last updated: May 2, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Syracuse Rtc Llc NPPES

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

SYRACUSE RTC LLC (NPI 1740690452) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Syracuse, Utah and active in the NPI registry since May 2014. The organization holds a CLIA Waiver certificate valid through June 8, 2028 and lists Jana Randall, Billing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1740690452
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NameELEVATIONS RTC
Location Address2650 W 2700 SSyracuse, UT 84075-9013
Mailing Address2650 W 2700 SSyracuse, UT 84075-9013 · (801) 773-0200 · Fax (801) 773-0208
Phone(801) 773-0200
Fax(801) 773-0208
Organization SubpartNo
Authorized OfficialJana RandallBilling Coordinator · (801) 773-0200
Enumeration DateMay 2, 2014
✔ NPI 1740690452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities
Taxonomy Code322D00000X
License✔ Licensed in UT · 6916
Definition
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.
2650 W 2700 S, Syracuse, UT 84075
Open in Google Maps ↗

Other Names 1

Other NameSyracuse Rtc Llc

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 46D2008389

Elevations Rtc · Syracuse, UT
Active · expires Jun 8, 2028
CLIA Number46D2008389
Laboratory TypeResidential Treatment Cen
Certificate Effective DateJune 9, 2026
Certificate Expiration DateJune 8, 2028
Laboratory DirectorTaylor R. Smith
Laboratory Phone(801) 773-0200
Laboratory LocationElevations Rtc2650 W 2700 S, Syracuse, UT 84075
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

JORDAN B KILLPACK MC, LPC, CMHC
Counselor (Mental Health)
2650 W 2700 S
SYRACUSE, UT 84075
Davis County (956) 639-6309
ISLAND VIEW RESIDENTIAL TREATMENT CENTER
Psychiatric Residential Treatment Facility
2650 W 2700 S
SYRACUSE, UT 84075
Davis County (801) 773-0200
RACHELLE STEED LCSW
Counselor (Mental Health)
2650 W 2700 S
SYRACUSE, UT 84075
Davis County (801) 589-9121

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 Elevations Rtc's NPI number?

The NPI number for Elevations Rtc is 1740690452. It was assigned to this organization in the NPPES registry on May 2, 2014. The provider is also known as Syracuse Rtc LLC.

Where is Elevations Rtc located?

Elevations Rtc is located at 2650 W 2700 S, Syracuse, UT 84075. The listed phone number is (801) 773-0200.

What is Elevations Rtc's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

Does Elevations Rtc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 46D2008389) is associated with this NPI, valid through June 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Elevations Rtc was last updated on May 2, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.