Organization Active NPI

Meridian Rehab Services Corp.

Doing business as Meridian Rehab Services

  • Pediatric Skilled Nursing Facility
  • Bountiful, UT
National Provider Identifier
1700072709
Registry record updated Sep 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X
License
3140N1450X Issued in UT
Legal business name
MERIDIAN REHAB SERVICES CORP.
Doing business as
Meridian Rehab Services
Practice address
450 S 400 E
Bountiful, UT 84010-4938
Phone
(801) 295-8000
Fax
(801) 295-8079
NPI assigned
Sep 24, 2007
Last updated
Sep 24, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2007

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

Authorized official

Name
Mr. Brett Peter Robertson
Title
President
Phone
(801) 295-8000

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Skilled Nursing Facility 3140N1450X 3140N1450X UT Primary
Pediatric Skilled Nursing Facility 3140N1450X 3140N1450X NE
Pediatric Skilled Nursing Facility 3140N1450X 3140N1450X AZ
Pediatric Skilled Nursing Facility 3140N1450X 3140N1450X MN

Addresses

Primary practice location

450 S 400 E
Bountiful, UT 84010-4938

Mailing address

450 S 400 E
Bountiful, UT 84010-4938
Phone (801) 295-8000

Other names 1

  • Meridian Rehab Services Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190592000000",
    "number": "1700072709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 S 400 E",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840104938",
            "telephone_number": "801-295-8000",
            "fax_number": "801-295-8079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 S 400 E",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840104938",
            "telephone_number": "801-295-8000",
            "fax_number": "801-295-8079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN REHAB SERVICES CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-24",
        "last_updated": "2007-09-24",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-295-8000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "UT",
            "license": "3140N1450X",
            "primary": true
        },
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "NE",
            "license": "3140N1450X",
            "primary": false
        },
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "AZ",
            "license": "3140N1450X",
            "primary": false
        },
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "MN",
            "license": "3140N1450X",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meridian Rehab Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bountiful, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2007; 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.