Healthcare Provider Details

I. General information

NPI: 1164220828
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: 08/04/2025
Certification Date: 08/04/2025
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 TaxonomyN
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

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