LLHC St. George LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

7300098-1205 Issued in UT

Legal business name

LLHC ST. GEORGE LLC

Doing business as

Life Life Health Center

Practice address

120 W 1470 S
St George, UT 84770-6798

Phone

(435) 574-9777

NPI assigned

Jun 17, 2013

Last updated

Jun 17, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Ronald David Tiller, P.A.NPI 1881630572

Title

Medical Director

Phone

(435) 574-9777

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Life Life Health Center Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ronald D Tiller, PA-C

  • Physician Assistant
  • St George, UT
  • NPI 1881630572
  Authorized official Same address or phone

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

{
    "created_epoch": "1371427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371427200000",
    "number": "1801235502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W 1470 S",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847706798",
            "telephone_number": "435-574-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W 1470 S",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847706798",
            "telephone_number": "435-574-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LLHC ST. GEORGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-17",
        "last_updated": "2013-06-17",
        "status": "A",
        "authorized_official_last_name": "TILLER",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "435-574-9777",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.A."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "UT",
            "license": "7300098-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1881630572",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "7865804-1206",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "7300098-1205",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1497716344",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Life Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Susan G Little, RN
• Tyson Littlefield
• Douglas Tyrone Livingston Quinn, PSYD, LMFT
• Emily Livingstone
• Nathaniel Liwag
• Benjamin Todd Lloyd, DDS
• Teresa Lea Lloyd, CPCI
• Battista Trevor Locatelli
• Adam Jeffrey Lofgran, O.D.
• Amelia Long

• Adult Day Care Clinic/Center in St George, UT
• Providers in St George, UT by specialty
• Adult Day Care Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.