SYRACUSE SUPPORTED LIVING (UAN-SSL)
NPI 1952792004
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Syracuse, UT

NPI Status: Active since February 11, 2015

Contact Information

2075 SOUTH BLUFF ROAD
SYRACUSE, UT
ZIP 84075
Phone: (801) 776-1380
Fax: (801) 784-4900

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About SYRACUSE SUPPORTED LIVING (UAN-SSL)

This page provides the complete NPI Profile along with additional information for Syracuse Supported Living (uan-ssl), a provider established in Syracuse, Utah operating as a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1952792004 assigned on February 2015. The practitioner's primary taxonomy code is 320900000X. The provider is registered as an organization and their NPI record was last updated 9 years ago. Syracuse Supported Living (uan-ssl) operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's other name is Syracuse Supported Living (uan-ssl). The authorized official of this NPI record is Mr. David B. Andreasen Qidp Director (Owner)

NPI
1952792004
Provider Legal Name
UTAH ADVOCACY NETWORK
Other Organization Name
SYRACUSE SUPPORTED LIVING (UAN-SSL)
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
2075 SOUTH BLUFF ROAD SYRACUSE, UT 84075
Location Phone
(801) 776-1380
Location Fax
(801) 784-4900
Mailing Address
2075 SOUTH BLUFF ROAD SYRACUSE, UT 84075
Mailing Phone
(801) 776-1380
Mailing Fax
(801) 784-4900
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-11-2015
Last Update Date
05-02-2017
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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

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Taxonomy Code
320900000X
Type
Residential Treatment Facilities
Taxonomy Description
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

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)
1163W00000XNursing Service Providers

Registered Nurse

189610-3102-20170122 (UT)

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.

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

MR. DAVID B. ANDREASEN QIDP DIRECTOR

Authorized Official Title
OWNER
Authorized Official Phone
(801) 643-2866

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
HT007851-001OTHER (01)UTUHIN-TRADING PARTNER NUMBER
5107101201MEDICAID (05)UT 

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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 1952792004, we treat the final digit (4) 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 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

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
9
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
2
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
9
Unchanged
Pos 7
2
Doubled → 4
Pos 8
0
Unchanged
Pos 9
0
Doubled → 0
Check
4
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 5 → 10 → 1 7 → 14 → 5 2 → 4 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 1 + 0 + 2 + 1 + 4 + 9 + 4 + 0 + 0 + 24 = 56

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

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1952792004.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1952792004, enumerated as an "organization" on February 11, 2015.

The provider is located at 2075 SOUTH BLUFF ROAD SYRACUSE, UT 84075 and the phone number is (801) 776-1380.

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.