Sandy Regional, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

2005NCF82 Issued in UT

Legal business name

SANDY REGIONAL, INC.

Practice address

50 E 9000 S
Sandy, UT 84070-2201

Phone

(801) 561-9839

Fax

(801) 565-0483

NPI assigned

Jul 19, 2005

Organization subpart

Yes

Parent organization

HORIZON WEST HEALTHCARE OF UTAH, INC.As reported in NPPES

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

Authorized official

Name

Larry E Bear

Title

Chief Executive Officer

Phone

(916) 624-6230

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sandy Regional Convalescent and Rehabilitation Center Inc Former legal business name

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213056000000",
    "number": "1508865825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 SIERRA COLLEGE BLVD",
            "address_2": "SUITE 190",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "956773906",
            "telephone_number": "916-624-6230",
            "fax_number": "916-624-6249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 E 9000 S",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840702201",
            "telephone_number": "801-561-9839",
            "fax_number": "801-565-0483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDY REGIONAL, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HORIZON WEST HEALTHCARE OF UTAH, INC.",
        "enumeration_date": "2005-07-19",
        "last_updated": "2008-06-10",
        "status": "A",
        "authorized_official_last_name": "BEAR",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "916-624-6230"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "UT",
            "license": "2005NCF82",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "870418553002",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sandy Regional Convalescent and Rehabilitation Center Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Kim Dawn Sandrock, RN
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• Sandy City Corp
• Sandy Dental Management
• Sandy Modern Dentistry, LLP
• Sandy Shores Pediatric Dentistry
• Emma Sanfilippo, CMHC
• Loran Dax Sant, L.M.T.
• Steven B Sargent, OD
• Mandana Sarvghad

• Skilled Nursing Facility in Sandy, UT
• Providers in Sandy, 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 10, 2008; 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.