Healthcare Provider Details

I. General information

NPI: 1710785472
Provider Name (Legal Business Name): I AM RECOVERY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/06/2025
Last Update Date: 03/06/2025
Certification Date: 03/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3784 W VALLEY VIEW DR STE A
CEDAR HILLS UT
84062-8085
US

IV. Provider business mailing address

3784 W VALLEY VIEW DR STE A
CEDAR HILLS UT
84062-8085
US

V. Phone/Fax

Practice location:
  • Phone: 801-867-1515
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: JARED CASEY
Title or Position: OWNER
Credential:
Phone: 801-867-1515