1. Home
  2. Directory
  3. Utah
  4. Syracuse
  5. Community Based Residential Treatment Facility Intellectual And Or Developmental Disabilities
  6. NPI Profile

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

Active since February 11, 2015
2075 SOUTH BLUFF ROAD, SYRACUSE, UT 84075(801) 776-1380(801) 784-4900 Get Directions Write a Review

NPPES record last updated: May 2, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Syracuse Supported Living (uan-ssl) NPPES

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

SYRACUSE SUPPORTED LIVING (UAN-SSL) (NPI 1952792004) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Syracuse, Utah and active in the NPI registry since February 2015. The organization lists David B. Andreasen, Owner, as its authorized official.

NPPES Registry Identity

NPI1952792004
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameUTAH ADVOCACY NETWORK
Location Address2075 SOUTH BLUFF ROADSyracuse, UT 84075-9214
Mailing Address2075 South Bluff RoadSyracuse, UT 84075-9214 · (801) 776-1380 · Fax (801) 784-4900
Phone(801) 776-1380
Fax(801) 784-4900
Organization SubpartNo
Authorized OfficialDavid B. AndreasenOwner · (801) 643-2866
Enumeration DateFebruary 11, 2015
Last NPPES UpdateMay 2, 2017
✔ NPI 1952792004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Also ListedRegistered NurseTaxonomy 163W00000X · License 189610-3102-20170122 (UT)
2075 SOUTH BLUFF ROAD, Syracuse, UT 84075
Open in Google Maps ↗

Other Names 1

Other NameSyracuse Supported Living (uan-ssl)

Other Identifiers 2

OtherHT007851-001UT · Uhin-trading Partner Number
Medicaid5107101201UT

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Utah Advocacy Network's NPI number?

The NPI number for Utah Advocacy Network is 1952792004. It was assigned to this organization in the NPPES registry on February 11, 2015. The provider is also known as Syracuse Supported Living (uan-Ssl).

Where is Utah Advocacy Network located?

Utah Advocacy Network is located at 2075 South Bluff Road, Syracuse, UT 84075. The listed phone number is (801) 776-1380.

What is Utah Advocacy Network's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Utah Advocacy Network was last updated on May 2, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.