Organization Active NPI

Zions Rehab

  • Home Health Agency
  • St George, UT
National Provider Identifier
1306110101
Registry record updated Jun 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
4840 Issued in AZ
Legal business name
ZIONS REHAB
Practice address
1490 E Foremaster Dr BLDG B
St George, UT 84790-4510
Phone
(435) 652-4205
Fax
(435) 688-2078
NPI assigned
Feb 27, 2012
Last updated
Jun 12, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2013

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

Authorized official

Name
Miss Jen Boyack
Title
Office Manager
Phone
(435) 652-4205

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 4840 AZ Primary

Addresses

Primary practice location

1490 E Foremaster Dr BLDG B
St George, UT 84790-4510

Mailing address

1490 E Foremaster Dr
BLDG B
St George, UT 84790-4488
Phone (435) 652-4205

National Provider Directory

National Provider Directory
Tax ID family
Zions Rehab2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1330300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370995200000",
    "number": "1306110101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1490 E FOREMASTER DR",
            "address_2": "BLDG B",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847904488",
            "telephone_number": "435-652-4205",
            "fax_number": "435-688-2078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 E FOREMASTER DR BLDG B",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847904510",
            "telephone_number": "435-652-4205",
            "fax_number": "435-688-2078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZIONS REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-27",
        "last_updated": "2013-06-12",
        "status": "A",
        "authorized_official_last_name": "BOYACK",
        "authorized_official_first_name": "JEN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "435-652-4205",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AZ",
            "license": "4840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.