St George Nursing Home LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

2005-NCF-21909 Issued in UT

Legal business name

ST GEORGE NURSING HOME LLC

Doing business as

Kolob Care & Rehabilitation Center of St. George

Practice address

178 S 1200 E
St George, UT 84790-5508

Phone

(435) 688-1207

Fax

(435) 688-8650

NPI assigned

May 1, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Travis Hoopes

Title

Administrator

Phone

(435) 688-1207

Specialties & licenses 1

Addresses

Other names 1

• Kolob Care & Rehabilitation Center of St. George Doing business as

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424822400000",
    "number": "1154389203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 S 1200 E",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847905508",
            "telephone_number": "435-688-1207",
            "fax_number": "435-688-8650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 S 1200 E",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847905508",
            "telephone_number": "435-688-1207",
            "fax_number": "435-688-8650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST GEORGE NURSING HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-01",
        "last_updated": "2015-02-25",
        "status": "A",
        "authorized_official_last_name": "HOOPES",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "435-688-1207",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "UT",
            "license": "2005-NCF-21909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kolob Care & Rehabilitation Center of St. George",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in St George, UT
• Providers in St George, 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 Feb 25, 2015; 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.