The Peaks Care and Rehab, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

THE PEAKS CARE AND REHAB, INC

Practice address

370 West 500 North
Orem, UT 84057

Phone

(801) 223-4344

Fax

(801) 223-4348

NPI assigned

Sep 5, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Clinton W. Robertson

Title

Ceo

Phone

(801) 693-2400

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1346803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388361600000",
    "number": "1609125715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 WEST 500 NORTH",
            "city": "OREM",
            "state": "UT",
            "postal_code": "84057",
            "telephone_number": "801-434-7325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 WEST 500 NORTH",
            "city": "OREM",
            "state": "UT",
            "postal_code": "84057",
            "telephone_number": "801-223-4344",
            "fax_number": "801-223-4348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PEAKS CARE AND REHAB, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-05",
        "last_updated": "2013-12-30",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "CLINTON",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "801-693-2400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "465177",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in Orem, UT
• Providers in Orem, 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 Dec 30, 2013; 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.