Porter'S Nursing Home Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

2005-NCF-78 Issued in UT

Legal business name

PORTER'S NURSING HOME INC.

Practice address

126 W 200 N
St George, UT 84770-2702

Phone

(435) 628-1601

NPI assigned

Oct 26, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Bryan Erickson

Title

Ceo

Phone

(801) 489-8263

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Porter's Nursing & Rehabilitation Doing business as

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215927660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2528",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847712528",
            "telephone_number": "435-628-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 W 200 N",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847702702",
            "telephone_number": "435-628-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTER'S NURSING HOME INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ERICKSON",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "801-489-8263",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "UT",
            "license": "2005-NCF-78",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "870261795017",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Porter's Nursing & Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Justin Kevin Poppe, D.C.
• Laurie Porritt
• Dustin Joseph Porter
• Mikai Porter
• Victoria Porter
• Beatriz Alejandra Portillo
• Kaila Posell
• Possibilities ABA SD LLC
• Pamelyn Post
• Clyde Brady Postma

• 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 Aug 22, 2020; 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.