AVALON HILLS ADULT HEALTH CARE, INC
NPI 1851494710
Psychiatric Residential Treatment Facility in Paradise, UT

NPI Status: Active since September 06, 2006

Contact Information

550 W MOUNT PISGAH RD
PARADISE, UT
ZIP 84328
Phone: (435) 938-6060
Fax: (435) 755-0439

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  • Organization
  • Psychiatric Residential Treatment Facili...
  • Accepts Insurance
  • CLIA Number: 46D2013540
  • CLIA Cert. Type: Other - RESIDENTIAL TREATMENT
  • CLIA Exp. Date: 09-20-2026

About AVALON HILLS ADULT HEALTH CARE, INC

This page provides the complete NPI Profile along with additional information for Avalon Hills Adult Health Care, Inc, a provider established in Paradise, Utah operating as a Psychiatric Residential Treatment Facility. The healthcare provider is registered in the NPI registry with number 1851494710 assigned on September 2006. The practitioner's primary taxonomy code is 323P00000X with license number 11234 (UT). The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Benita J Quakenbush (Owner)

NPI
1851494710
Provider Name
AVALON HILLS ADULT HEALTH CARE, INC
Entity Type
Organization
Location Address
550 W MOUNT PISGAH RD PARADISE, UT 84328
Location Phone
(435) 938-6060
Location Fax
(435) 755-0439
Mailing Address
PO BOX 3412 LOGAN, UT 84323
Mailing Phone
(435) 938-6060
Mailing Fax
(435) 755-0439
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-06-2006
Last Update Date
05-20-2022
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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

Psychiatric Residential Treatment Facility

Taxonomy Code
323P00000X
Type
Residential Treatment Facilities
License No.
11234
License State
UT
Taxonomy Description
A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
  • Bronze 4 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 10 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver 6 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO

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.

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

BENITA J QUAKENBUSH

Authorized Official Title
OWNER
Authorized Official Phone
(435) 938-6060

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
82090000001001OTHER (01)UTBLUE CROSS BLUE SHIELD

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
46D2013540
Facility Type
Other - RESIDENTIAL TREATMENT
Certificate Effective Date
September 21, 2024
Certificate Expiration Date
September 20, 2026
Laboratory Director
CHAD SPETH
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Avalon Hills Adult Health Care, Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for AVALON HILLS ADULT HEALTH CARE, INC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1851494710
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2810189872
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 1 + 0 + 1 + 8 + 9 + 8 + 7 + 2 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1851494710 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1851494710, enumerated in the NPI registry as an "organization" on September 06, 2006

The provider is located at 550 W Mount Pisgah Rd Paradise, Ut 84328 and the phone number is (435) 938-6060

This medical organization specializes in Psychiatric Residential Treatment Facility with taxonomy code 323P00000X

The provider might be accepting Accepts: Aetna CVS Health, Blue Cross Blue Shield, Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 46D2013540 for a "other - residential treatment" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on September 06, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.