Deseret Health and Rehab at Saratoga, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

DESERET HEALTH AND REHAB AT SARATOGA, LLC

Practice address

207 East Holly
Saratoga, WY 82331-0630

Phone

(307) 326-8212

NPI assigned

Jan 15, 2013

Organization subpart

Yes

Parent organization

DNR TWO LLCAs reported in NPPES

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

Authorized official

Name

Garrett Robertson

Title

Ceo

Phone

(801) 296-5105

Specialties & licenses 1

Addresses

Part of

Deseret Health and Rehab at Saratoga LLC

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

{
    "created_epoch": "1358208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368057600000",
    "number": "1376880062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 630",
            "city": "SARATOGA",
            "state": "WY",
            "postal_code": "823310630",
            "telephone_number": "307-326-8212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 EAST HOLLY",
            "city": "SARATOGA",
            "state": "WY",
            "postal_code": "823310630",
            "telephone_number": "307-326-8212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERET HEALTH AND REHAB AT SARATOGA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DNR TWO LLC",
        "enumeration_date": "2013-01-15",
        "last_updated": "2013-05-09",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "GARRETT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "801-296-5105"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tonya Lynn Bartholomew, OTR/L
• Tonya L Bennett, DPT
• Beverly Nott, OD PC (High Plains Vision Center Saratoga)
• John Andrew Brooks, M.D.
• Patricia Ann Brown, PA-C
• Sara Devine, PA
• Mary Jo Greenwood, LCSW
• Meaghan Henry, RDN, LD
• Ronald F. Hoopes, LPC
• Jane Ann Johnston, MS, SLP/CCC

• Skilled Nursing Facility in Saratoga, WY
• Providers in Saratoga, WY by specialty
• Skilled Nursing Facility in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.