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PHOENIX RISING TREATMENT, LLC.
NPI 1790533800
Substance Abuse Rehabilitation Facility in Salt Lake City, UT

Active since May 13, 2024
392 E 3900 S, SALT LAKE CITY, UT 84107(801) 856-7799 Get Directions Write a Review

NPPES record last updated: May 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Phoenix Rising Treatment, Llc. NPPES

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

PHOENIX RISING TREATMENT, LLC. (NPI 1790533800) is a healthcare organization registered as a substance abuse rehabilitation facility in Salt Lake City, Utah and active in the NPI registry since May 2024. The organization lists Dane Jones, Complaince Officer, as its authorized official.

NPPES Registry Identity

NPI1790533800
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NamePHOENIX RISING TREATMENT, LLC.
Location Address392 E 3900 SSalt Lake City, UT 84107-1615
Mailing Address392 E 3900 SSalt Lake City, UT 84107-1615 · (801) 856-7799
Phone(801) 856-7799
Organization SubpartNo
Authorized OfficialDane JonesComplaince Officer · (714) 561-8063
Enumeration DateMay 13, 2024
NPPES CertifiedMay 13, 2024
✔ NPI 1790533800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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 ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
392 E 3900 S, Salt Lake City, UT 84107
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Other Providers at the Same Location NPPES 5

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

JEFF LYNN PENROSE
Case Manager/Care Coordinator
392 E 3900 S
SALT LAKE CITY, UT 84107
Salt Lake County (801) 856-7799
COURTNEY AVERETT SUDC
Counselor (Addiction (Substance Use Disorder))
392 E 3900 S
SALT LAKE CITY, UT 84107
Salt Lake County (801) 259-1944
PHOENIX RISING
Clinic/Center (Recovery Care)
392 E 3900 S
SALT LAKE CITY, UT 84107
Salt Lake County (801) 425-2921
MARISSA PENROSE
Case Manager/Care Coordinator
392 E 3900 S
SALT LAKE CITY, UT 84107
Salt Lake County (385) 347-5303
RYAN EVANS
Case Manager/Care Coordinator
392 E 3900 S
SALT LAKE CITY, UT 84107
Salt Lake County (801) 425-2921

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 Phoenix Rising Treatment, LLC.'s NPI number?

The NPI number for Phoenix Rising Treatment, LLC. is 1790533800. It was assigned to this organization in the NPPES registry on May 13, 2024.

Where is Phoenix Rising Treatment, LLC. located?

Phoenix Rising Treatment, LLC. is located at 392 E 3900 S, Salt Lake City, UT 84107. The listed phone number is (801) 856-7799.

What is Phoenix Rising Treatment, 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 Phoenix Rising Treatment, LLC. was last updated on May 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.