NPIMap

Organization Active NPI

Meadow Peak SV LLC

Doing business as Meadow Peak Rehabilitation

  • Skilled Nursing Facility
  • Taylorsville, UT
National Provider Identifier
1356927834
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
MEADOW PEAK SV LLC
Doing business as
Meadow Peak Rehabilitation
Practice address
6084 South Summit Vista Blvd
Taylorsville, UT 84129
Phone
(385) 255-1105
NPI assigned
Mar 23, 2021
Last updated
Oct 20, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2022

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

Authorized official

Name
Gary Kelso
Title
MHS Ceo
Phone
(801) 389-1523

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

6084 South Summit Vista Blvd
Taylorsville, UT 84129

Mailing address

6084 South Summit Vista Blvd
Taylorsville, UT 84129
Phone (385) 255-1105

Other names 1

  • Meadow Peak Rehabilitation Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1616457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666224000000",
    "number": "1356927834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6084 SOUTH SUMMIT VISTA BLVD",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "84129",
            "telephone_number": "385-255-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6084 SOUTH SUMMIT VISTA BLVD",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "84129",
            "telephone_number": "385-255-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEADOW PEAK SV LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-23",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A",
        "authorized_official_last_name": "KELSO",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "MHS CEO",
        "authorized_official_telephone_number": "801-389-1523"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meadow Peak Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Taylorsville, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; 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.