NPIMap

Organization Active NPI

Sre Asl SG, LLC

  • Assisted Living Facility
  • St George, UT
National Provider Identifier
1407461460
Registry record updated Sep 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SRE ASL SG, LLC
Doing business as
Spring Gardens of St George
Practice address
2654 Red Cliffs Dr
St George, UT 84790-5827
Phone
(435) 688-1622
Fax
(435) 986-1228
NPI assigned
Sep 15, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2020

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

Authorized official

Name
Candice Fine
Title
Authorized Agent
Phone
(480) 244-9173

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

2654 Red Cliffs Dr
St George, UT 84790-5827

Mailing address

2654 Red Cliffs Dr
St George, UT 84790-5827
Phone (435) 688-1622

Other names 1

  • Spring Gardens of St George Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1600128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600128000000",
    "number": "1407461460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2654 RED CLIFFS DR",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847905827",
            "telephone_number": "435-688-1622",
            "fax_number": "435-986-1228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2654 RED CLIFFS DR",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847905827",
            "telephone_number": "435-688-1622",
            "fax_number": "435-986-1228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SRE ASL SG, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-15",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A",
        "authorized_official_last_name": "FINE",
        "authorized_official_first_name": "CANDICE",
        "authorized_official_title_or_position": "AUTHORIZED AGENT",
        "authorized_official_telephone_number": "480-244-9173"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spring Gardens of St George",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 15, 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.