OrganizationActive
Salt Lake County Corporation
NPI 1336265420 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Midvale, UT
Provider details
- NPI number
- 1336265420
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Peter Carroon, Mayor(801) 468-2500
- License
- 11700 (UT)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000XLicense 11700 (UT)
Residential Treatment Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
8446 Harrison St
Midvale, UT 84047-3568
Phone: (801) 561-0075
Fax: (801) 565-1205
Street-level locationGet directions
Mailing address
8446 Harrison St
Midvale, UT 84047-3568
Registry dates
- Enumerated
- 2007-03-21
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.