Rocky Mountain Care - Holladay, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

ROCKY MOUNTAIN CARE - HOLLADAY, INC

Practice address

5242 College Dr
Suite 205
Murray, UT 84123-2653

Phone

(801) 397-4011

Fax

(801) 397-4090

NPI assigned

Jan 13, 2010

Last updated

Jan 13, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dee R Bangerter

Title

Cheif Executive Officer

Phone

(801) 397-4011

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1263340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263340800000",
    "number": "1114257193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5242 COLLEGE DR",
            "address_2": "SUITE 205",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841232653",
            "telephone_number": "801-397-4011",
            "fax_number": "801-397-4090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5242 COLLEGE DR",
            "address_2": "SUITE 205",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841232653",
            "telephone_number": "801-397-4011",
            "fax_number": "801-397-4090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKY MOUNTAIN CARE - HOLLADAY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-13",
        "last_updated": "2010-01-13",
        "status": "A",
        "authorized_official_last_name": "BANGERTER",
        "authorized_official_first_name": "DEE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CHEIF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "801-397-4011"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Collier Robison IV, ACNP, APRN
• David Robles
• Kristi Robles, LCSW
• Guizella Rocabado
• Rocky Mountain Allergy Asthma and Immunology, LLC
• Rocky Mountain Home Care and Hospice Wyoming, LLC
• McKenzie Lynn Rodarte, SUDC
• Taylor Westley Rodrigues, MD
• Brian J Rodriguez, PT DPT OCS
• Fernando Rodriguez, MD

• Skilled Nursing Facility in Murray, UT
• Providers in Murray, 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 Jan 13, 2010; 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.