Deseret Health and Rehab at Federal Heights LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

DESERET HEALTH AND REHAB AT FEDERAL HEIGHTS LLC

Practice address

41 S 900 E
Salt Lake City, UT 84102-1306

Phone

(801) 532-3539

NPI assigned

Nov 26, 2012

Organization subpart

Yes

Parent organization

DNR TWO LLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Garrett Robertson

Title

Ceo

Phone

(801) 296-5105

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kindred Nursing Centers West, LLC Former legal business name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1353888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380499200000",
    "number": "1063756328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 S 900 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841021306",
            "telephone_number": "801-532-3539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 S 900 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841021306",
            "telephone_number": "801-532-3539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERET HEALTH AND REHAB AT FEDERAL HEIGHTS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DNR TWO LLC",
        "enumeration_date": "2012-11-26",
        "last_updated": "2013-09-30",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "GARRETT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "801-296-5105"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "522085558066",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kindred Nursing Centers West, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Barbara Ann Desantis, R.N.
• Charles Desantis, PHARMACIST
• Meredith Deschenes, MSWI
• Deseret Care Center LLC
• Deseret Care LLC (Love Hospice)
• Deseret Medical Inc
• Deseret Peak Dialysis
• Rosemary Ann Deshazo, M.D.
• Cameron Michael Deshetler
• Megan Desimon

• Skilled Nursing Facility in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Skilled Nursing Facility in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.