Healthcare Provider Details

I. General information

NPI: 1104703669
Provider Name (Legal Business Name): HOPE RISING DETOX AND REHAB LLC - HRSS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2025
Last Update Date: 08/18/2025
Certification Date: 08/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

671 S 1000 E
ST GEORGE UT
84790-5555
US

IV. Provider business mailing address

110 E PLEASANT VIEW LN
WASHINGTON UT
84780-2751
US

V. Phone/Fax

Practice location:
  • Phone: 435-669-4024
  • Fax:
Mailing address:
  • Phone: 435-669-4024
  • 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: SCOTT MAYFIELD
Title or Position: CEO
Credential:
Phone: 435-669-4024