Willow Glen Health & Rehab, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

WILLOW GLEN HEALTH & REHAB, LLC

Practice address

775 N 200 E
Brigham City, UT 84302-1303

Phone

(435) 723-7777

NPI assigned

Nov 5, 2008

Last updated

Jun 12, 2015By 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

Faye Lincoln

Title

Vice Pres. Policy & Gov. Relations

Phone

(801) 325-0153

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1225843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434067200000",
    "number": "1487808366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 N 2100 W",
            "address_2": "SUITE 200",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841164740",
            "telephone_number": "801-325-0153",
            "fax_number": "801-596-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 N 200 E",
            "city": "BRIGHAM CITY",
            "state": "UT",
            "postal_code": "843021303",
            "telephone_number": "435-723-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW GLEN HEALTH & REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-05",
        "last_updated": "2015-06-12",
        "status": "A",
        "authorized_official_last_name": "LINCOLN",
        "authorized_official_first_name": "FAYE",
        "authorized_official_title_or_position": "VICE PRES. POLICY & GOV. RELATIONS",
        "authorized_official_telephone_number": "801-325-0153"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregg Harry Wilding, M.D.
• Winter Willcut
• Jaron Williams, RBT
• Rebecca Williamsen
• Morgen Williamson
• Savanna Wills
• Rhonda Lynn Wilson
• Zakary Micheal Wilson
• Robert Michael Winward
• Burton Withey

• Skilled Nursing Facility in Brigham City, UT
• Providers in Brigham 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 Jun 12, 2015; 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.