NPIMap

Organization Active NPI

Utah Valley Rehabilitation and Healthcare Center, LLC

  • Skilled Nursing Facility
  • Provo, UT
National Provider Identifier
1417199803
Registry record updated Jul 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
APPLIED FOR Issued in UT
Legal business name
UTAH VALLEY REHABILITATION AND HEALTHCARE CENTER, LLC
Practice address
1053 W 1020 S
Provo, UT 84601-5656
Phone
(801) 373-2630
Fax
(801) 373-2660
NPI assigned
Mar 31, 2009
Organization subpart
Yes
Parent organization
ORIANNA HEALTH SYSTEMS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 11, 2016

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

Authorized official

Name
Craig E Robinson
Title
President
Phone
(901) 937-7994

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X APPLIED FOR UT Primary

Addresses

Primary practice location

1053 W 1020 S
Provo, UT 84601-5656

Mailing address

1053 W 1020 S
Provo, UT 84601-5656
Phone (801) 373-2630

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1238457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468195200000",
    "number": "1417199803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1053 W 1020 S",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846015656",
            "telephone_number": "801-373-2630",
            "fax_number": "801-373-2660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1053 W 1020 S",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846015656",
            "telephone_number": "801-373-2630",
            "fax_number": "801-373-2660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UTAH VALLEY REHABILITATION AND HEALTHCARE CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ORIANNA HEALTH SYSTEMS, LLC",
        "enumeration_date": "2009-03-31",
        "last_updated": "2016-07-11",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "901-937-7994"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "UT",
            "license": "APPLIED FOR",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Provo, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2016; 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.