LIFE REHABILITATION, LC (NPI# 1023481991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023481991 |
Entity Type | Organization |
Organization Name | LIFE REHABILITATION, LC |
Practice Address |
8134 S Summit Valley Dr West Jordan UT 84088-5930 |
Practice Telephone | 8019931110 |
Mailing Telephone | 8019931110 |
Enumeration Date | 2015-11-02 |
Last Update Date | 2015-11-02 |
Authorized Official Name | MS. ROBYN ANN SMITH (OWNER, MANAGING PARTNER) |
Authorized Official Telephone | 8019931110 |
Authorized Official Credential | COTA/L, CLWT, CL |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0401X |
Clinic/Center Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
83587964202 | UT | Ambulatory Health Care Facilities |
Street Address |
8134 S SUMMIT VALLEY DR |
City | WEST JORDAN |
State | UT |
Zip Code | 84088-5930 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881178655 | Sierra Burt | Physician Assistant | 3584 West 90000 South Suite 304, West Jordan, UT 84088 | 2018-09-18 |
1659861847 | Miller Anesthesia Consultants PC | Anesthesiology | Jvmc Dept. of Anesthesiology, 3580 W. 9000 S., West Jordan, UT 84088 | 2018-05-14 |
1821501495 | Cleo Stephanides Cheney | Dentist | 8846 South Redwood Rd., Suite N201, West Jordan, UT 84088 | 2017-11-06 |
1124546742 | Crystal Lynn Santos | Counselor | 4431 8200 S, West Jordan, UT 84088 | 2017-09-04 |
1154705960 | Heston Farnsworth | Dentist | 9217 South Redwood Road, Suite B, West Jordan, UT 84088 | 2015-07-13 |
1750778767 | Andrew Cantwell | Dentist | 3855 7800 South #150, West Jordan, UT 84088 | 2015-04-17 |
1962764282 | Steven Howard Reano | Specialist | 8789 S Redwood Road, Ste 100, West Jordan, UT 84088 | 2012-06-12 |
1528328846 | Orthodontic Payment Services, LLC | Dentist | 1231 W 9000 S #d, West Jordan, UT 84088 | 2012-05-21 |
1588932321 | Jessica Millard | Counselor | 9278 S 1700 W, West Jordan, UT 84088 | 2011-12-08 |
1346553062 | Barbara Rouse | Counselor | 9278 Redwood Rd, West Jordan, UT 84088 | 2010-07-22 |
Find all providers in zip 84088 |
Taxonomy Code | 261QR0401X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730630203 | Clinical Consultants LLC | Clinic/Center | 7601 S Redwood Rd Bldg E, West Jordan, UT 84084-4007 | 2016-10-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144866740 | Team Recovery | Clinic/Center | 2600 N Main St Ste 204, North Logan, UT 84341-1510 | 2019-11-19 |
1285113472 | North Star Center, LLC. | Clinic/Center | 254 S State St Bldg A, La Verkin, UT 84745-5633 | 2018-08-09 |
1821512583 | North Star Center, LLC. | Clinic/Center | 254 S State St Ste A, La Verkin, UT 84745-5633 | 2017-08-02 |
1194260810 | Brc Outpatient LLC | Clinic/Center | 4905 S 900 E, Salt Lake City, UT 84117-5703 | 2017-01-04 |
1780066902 | Farrington Health Care LLC | Clinic/Center | 7309 South 180 West, Midvale, UT 84047-1020 | 2015-06-24 |
1326563032 | Brighton Recovery Center Intensive Outpatient LLC | Clinic/Center | 5677 S 1475 E, South Ogden, UT 84403-7032 | 2017-08-03 |
1528418589 | Edge Medical Services | Clinic/Center | 770 E South Temple Ste 100, Salt Lake City, UT 84102-1689 | 2016-06-20 |
1417399957 | Paramount Healthcare, LLC | Clinic/Center | 3540 S Main St, Salt Lake City, UT 84115-4435 | 2013-07-25 |
1174858823 | Therapeutic Wellness Center | Clinic/Center | 5974 Fashion Point Dr, Suite 100, South Ogden, UT 84403-4699 | 2009-10-14 |
1851533947 | Precision Health Services | Clinic/Center | 4885 S 900 E, Suite 107, Salt Lake City, UT 84117-5746 | 2009-04-03 |
Find all providers with the same taxonomy |
City | WEST JORDAN |
Zip Code | 84088 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.