Healthcare Provider Details

I. General information

NPI: 1295046100
Provider Name (Legal Business Name): UTAH FAMILY MULTI CARE SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2010
Last Update Date: 02/19/2026
Certification Date: 02/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8783 S 2240 W
WEST JORDAN UT
84088-9363
US

IV. Provider business mailing address

9045 S 1300 E
SANDY UT
84094-3134
US

V. Phone/Fax

Practice location:
  • Phone: 801-432-7986
  • Fax: 801-432-7663
Mailing address:
  • Phone: 801-666-6834
  • Fax: 801-904-0272

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code253J00000X
TaxonomyFoster Care Agency
License Number16817
License Number StateUT

VIII. Authorized Official

Name: MS. TROY SHAW
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 801-666-6834