Provider Demographics
NPI:1679085963
Name:ZION HILLS ACADEMY, INC.
Entity Type:Organization
Organization Name:ZION HILLS ACADEMY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:NATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HOFELING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:435-586-2500
Mailing Address - Street 1:246 E FIDDLERS CANYON RD
Mailing Address - Street 2:
Mailing Address - City:CEDAR CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84721-9776
Mailing Address - Country:US
Mailing Address - Phone:435-586-2500
Mailing Address - Fax:435-359-5213
Practice Address - Street 1:5088 VETERANS MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:ENOCH
Practice Address - State:UT
Practice Address - Zip Code:84721-7826
Practice Address - Country:US
Practice Address - Phone:435-586-2500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-26
Last Update Date:2022-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT53062322D00000X, 323P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility
No322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children
Provider Identifiers
StateIdentifier IDID TypeIssuer
635507OtherJOINT COMMISSION