Mission Health Services

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

2005 NCF 467 Issued in UT

Legal business name

MISSION HEALTH SERVICES

Doing business as

Hillside Rehabilitation Center

Practice address

1216 E 1300 S
Salt Lake City, UT 84105-1949

Phone

(801) 487-5865

Fax

(801) 487-5869

NPI assigned

Dec 27, 2005

Last updated

Sep 16, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Gary M. Kelso

Title

President

Phone

(801) 389-1523

Specialties & licenses 1

Addresses

Other names 1

• Hillside Rehabilitation Center Doing business as

Member of 1

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

• Mission Health Services

  dba Mission at Castle Rock Rehabilitation Center

  • Skilled Nursing Facility
  • Green River, WY
  • NPI 1104249432

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410825600000",
    "number": "1457338956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5007 S MISSION DR",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645059404",
            "telephone_number": "816-232-9573",
            "fax_number": "816-232-9596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 E 1300 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841051949",
            "telephone_number": "801-487-5865",
            "fax_number": "801-487-5869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-27",
        "last_updated": "2014-09-16",
        "status": "A",
        "authorized_official_last_name": "KELSO",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-389-1523",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "UT",
            "license": "2005 NCF 467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hillside Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lavinia Misifoa
• Miriama Misioaka
• Paul Andrew Miska, D.O.
• Robert M. Miska, M.D.
• Pacifique Missi
• Sejal Mistry
• Allison Mitchell
• Birgitta Hope Mitchell, MD
• Gwenda S Mitchell, APRN
• Harmony Mitchell, MS RDN CD CSP

• Skilled Nursing Facility in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Skilled Nursing Facility in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2014; 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.