NPIMap

Organization Active NPI

Caremeridian, LLC

Doing business as Neurorestorative

  • Skilled Nursing Facility
  • Riverton, UT
National Provider Identifier
1609306091
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CAREMERIDIAN, LLC
Doing business as
Neurorestorative
Practice address
13747 S Redwood Rd
Riverton, UT 84065-5710
Phone
(801) 417-9400
Fax
(801) 417-9398
NPI assigned
Jun 18, 2017
Organization subpart
Yes
Parent organization
NATIONAL MENTOR HEALTHCARE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 5, 2023

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

Authorized official

Name
Mary Patricia Rodenberg-Roberts
Title
VP & Sr. Asst GC
Phone
(952) 836-2234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

13747 S Redwood Rd
Riverton, UT 84065-5710

Mailing address

163 Technology Dr Ste 200
Irvine, CA 92618-2486
Phone (949) 263-6632

Other names 1

  • Neurorestorative Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170825000652 UT Part A Provider - Skilled Nursing Facility 3577625946 Practice locations: Riverton, UT

Skilled nursing facility certification: CCN 465179

Legal name
CAREMERIDIAN LLC
Doing business as
NEURORESTORATIVE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 25, 2013
Last certification
Nov 7, 2024
Beds
64
Ownership / control type
Corporation
Multi-facility organization
Sevita Health
Most recent change of ownership
Jul 1, 2017
Organization structure
LLCProprietary
Incorporated
Aug 15, 2008 in DE
Enrollment address
13747 S Redwood Rd
Riverton, UT 84065-5710
Nursing home name
NEURORESTORATIVE
Affiliated entity
NEURORESTORATIVE

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
NeuroRestorativeCCN 465179 · All quality measures
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Mar 25, 2013
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6460.4 residents per day on average
Chain
Neurorestorative5 facilities in the chain
Penalties (3 years)
3Fines totaling $97,796

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Caremeridian LLC40 organizations share this tax ID, including this one
Part of
California Mentor

Other organizations with this tax ID 39

Organizations that report the same tax identification number in the National Provider Directory.

View all 39

Ownership & related parties

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
William P McKinney Individual Corporate OfficerCeo Oct 21, 2019
Operational/Managerial ControlCeo Oct 21, 2019
William F Duffy Individual Corporate OfficerPresident Jan 17, 2018
Operational/Managerial ControlPresident Jan 17, 2018
National Mentor Holdings LLC Organization, Boston, MA LLC 5% Or Greater Indirect Ownership Interest Aug 15, 2008 100%
Caremeridian LLC Organization, Irvine, CA Created for acquisition, LLC, For-profit 5% Or Greater Direct Ownership Interest Jul 1, 2017 100%
Peter E Gladitsch Individual Corporate OfficerCfo Feb 1, 2020
National Mentor Holdings, Inc. Organization, Boston, MA Corporation 5% Or Greater Indirect Ownership Interest Aug 15, 2008 100%
Brett I Cohen Individual Corporate OfficerCoo Aug 15, 2008
Corporate DirectorCoo Aug 15, 2008
Operational/Managerial ControlDirector Coo Aug 15, 2008
Bruce W Kuluris Individual Corporate OfficerVice President of Operations, Au Jan 17, 2018
Operational/Managerial ControlVice President of Operations, Au Jan 17, 2018
National Mentor Healthcare LLC Organization, Boston, MA LLC 5% Or Greater Direct Ownership Interest Aug 15, 2008 100%
Celtic Intermediate Corp. Organization, Boston, MA Corporation 5% Or Greater Indirect Ownership Interest Mar 8, 2019 100%
Gina Martin Individual Corporate Officer Jan 1, 2019 100%
National Mentor LLC Organization, Boston, MA LLC 5% Or Greater Indirect Ownership Interest Aug 15, 2008 100%

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
NeurorestorativeLas Vegas, NV, CCN 295084 Skilled nursing facility Operational/Managerial Control (100%) Oct 1, 2008
NeurorestorativeLittleton, CO, CCN 065402 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 15, 2008
NeurorestorativeLas Vegas, NV, CCN 295091 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 15, 2008
NeurorestorativeReno, NV, CCN 295103 Skilled nursing facility Operational/Managerial Control (100%) Oct 1, 2008

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 4

Facilities that share an organizational owner with 5% or greater ownership or operational control.

  • Caremeridian, LLC

    dba Neurorestorative

    • Skilled Nursing Facility
    • Las Vegas, NV
    • NPI 1083707764

    Caremeridian LLC, Celtic Intermediate Corp., National Mentor Healthcare LLC, National Mentor Holdings LLC, National Mentor Holdings, Inc., National Mentor LLC

    CMS ownership
  • Caremeridian, LLC

    dba Neurorestorative

    • Skilled Nursing Facility
    • Reno, NV
    • NPI 1407357247

    Caremeridian LLC, National Mentor Healthcare LLC

    CMS ownership
  • Caremeridian, LLC

    dba Neurorestorative

    • Skilled Nursing Facility
    • Littleton, CO
    • NPI 1497020093

    Caremeridian LLC, Celtic Intermediate Corp., National Mentor Healthcare LLC, National Mentor Holdings LLC, National Mentor Holdings, Inc., National Mentor LLC

    CMS ownership
  • Caremeridian, LLC

    dba Neurorestorative

    • Skilled Nursing Facility
    • Las Vegas, NV
    • NPI 1558636993

    Caremeridian LLC, Celtic Intermediate Corp., National Mentor Healthcare LLC, National Mentor Holdings LLC, National Mentor Holdings, Inc., National Mentor LLC

    CMS ownership

Practitioners & affiliated clinicians

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1497744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693872000000",
    "number": "1609306091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 TECHNOLOGY DR STE 200",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182486",
            "telephone_number": "949-263-6632",
            "fax_number": "949-266-8679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13747 S REDWOOD RD",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840655710",
            "telephone_number": "801-417-9400",
            "fax_number": "801-417-9398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREMERIDIAN, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NATIONAL MENTOR HEALTHCARE LLC",
        "enumeration_date": "2017-06-18",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A",
        "authorized_official_last_name": "RODENBERG-ROBERTS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "PATRICIA",
        "authorized_official_title_or_position": "VP & SR. ASST GC",
        "authorized_official_telephone_number": "952-836-2234"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neurorestorative",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Riverton, UT

Sources for this page

Verify at the official NPI Registry.