NPIMap

Organization Active NPI

1031CF Portfolio 4 Mt LLC

Doing business as Spring Gardens of St. George

  • Assisted Living Facility
  • St George, UT
National Provider Identifier
1689358913
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
1031CF PORTFOLIO 4 MT LLC
Doing business as
Spring Gardens of St. George
Practice address
2654 Red Cliffs Dr
St George, UT 84790-5827
Phone
(435) 688-1622
NPI assigned
Jun 15, 2023
Last updated
Jun 15, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
1031CF PORTFOLIO 4 MT LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 15, 2023

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

Authorized official

Name
Edward Fernandez
Title
Authorized Designee
Phone
(844) 533-1031

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

2654 Red Cliffs Dr
St George, UT 84790-5827

Mailing address

2654 Red Cliffs Dr
St George, UT 84790-5827

Other names 1

  • Spring Gardens of St. George Doing business as

National Provider Directory

National Provider Directory
Tax ID family
1031CF Portfolio 4 Mt LLC2 organizations share this tax ID, including this one
Part of
1031CF Portfolio 4 Mt LLC

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1686787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686787200000",
    "number": "1689358913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2654 RED CLIFFS DR",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847905827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2654 RED CLIFFS DR",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847905827",
            "telephone_number": "435-688-1622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1031CF PORTFOLIO 4 MT LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "1031CF PORTFOLIO 4 MT LLC",
        "enumeration_date": "2023-06-15",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-06",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "AUTHORIZED DESIGNEE",
        "authorized_official_telephone_number": "844-533-1031"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spring Gardens of St. George",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St George, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; 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.