EHS CENTERVILLE LLC (NPI# 1053728543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053728543 |
Entity Type | Organization |
Organization Name | EHS CENTERVILLE LLC |
Other Organization Name | SUPERIOR ASSISTED LIVING OF CENTERVILLE |
Practice Address |
463 Rawlins Cir Centerville UT 84014-2104 |
Practice Telephone | 8016836521 |
Mailing Telephone | 8016836521 |
Enumeration Date | 2014-07-16 |
Last Update Date | 2014-07-16 |
Authorized Official Name | MATTHEW RASBAND (PRESIDENT) |
Authorized Official Telephone | 8016836521 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 385H00000X | Respite Care | 2014-ALI-82394 | UT | Respite Care Facility |
Y | 310400000X | Assisted Living Facility | 2014-ALI-82394 | UT | Nursing & Custodial Care Facilities |
Other Name | Type Code |
---|---|
Superior Assisted Living of Centerville | Doing Business As Name - Organization |
Street Address |
463 RAWLINS CIR |
City | CENTERVILLE |
State | UT |
Zip Code | 84014-2104 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750759809 | Oak Ridge Assisted Living | Assisted Living Facility | 463 Rawlins Cir, Centerville, UT 84014-2104 | 2015-09-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346879160 | Nanette F Reid | Physical Therapist | 103 West 1450 North, Centerville, UT 84014 | 2020-04-03 |
1124557541 | Julie Blundell | Social Worker | 1634 Lewis and Clark Dr, Centerville, UT 84014 | 2017-06-08 |
1588843395 | Lorant Steve Bodo | Assisted Living Facility | 463 West Rawlins Circle, Centerville, UT 84014 | 2007-10-29 |
1659572949 | Armando Wayne Slack | Registered Nurse | 190 S Main St, Centerville, UT 84014 | 2007-05-31 |
1467588004 | Pitt Family Dental | Dentist | 281 South Main, Centerville, UT 84014 | 2007-02-26 |
1841346467 | Lds Family Services | Specialist | 94a East Pages Lane, Centerville, UT 84014 | 2007-01-26 |
1275690489 | Do-it for You | Chore Provider | 291 E Casa Loma Drive, Centerville, UT 84014 | 2007-01-03 |
1558455527 | Brian D Rigby | Dentist | 44 East 100 South, Suite 100, Centerville, UT 84014 | 2006-10-03 |
1588756407 | Gary A Lawson | Dentist | 1080 South 400 East, Centerville, UT 84014 | 2006-09-28 |
1811526353 | Reid Physical Therapy | Physical Therapist | 103 West 1450 North, Centerville, UT 84014 | 2020-04-06 |
Find all providers in zip 84014 |
Taxonomy Code | 310400000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Assisted Living Facility |
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508267659 | Homestead of Centerville Operations LLC | Assisted Living Facility | 19999 Saint Joseph Dr, Centerville, IA 52544-9032 | 2014-09-09 |
1649690165 | Cherry Creek Assisted Living, LLC | Assisted Living Facility | 451 Rawlins Cir, Centerville, UT 84014-2104 | 2014-04-23 |
1275962276 | Kvd Care | Assisted Living Facility | 41 E Center St, Centerville, UT 84014-2244 | 2013-11-11 |
1588843395 | Lorant Steve Bodo | Assisted Living Facility | 463 West Rawlins Circle, Centerville, UT 84014 | 2007-10-29 |
1003022963 | Maple Grove Senior Living | Assisted Living Facility | 1917 S 18th St, Centerville, IA 52544-3136 | 2007-05-15 |
1659591816 | The Continental At St. Joseph's | Assisted Living Facility | 19999 St. Joseph's Drive, Centerville, IA 52544 | 2007-04-27 |
1659435113 | Elder Care, LLC | Assisted Living Facility | 71 E Center St, Centerville, UT 84014-2244 | 2006-12-20 |
1750759809 | Oak Ridge Assisted Living | Assisted Living Facility | 463 Rawlins Cir, Centerville, UT 84014-2104 | 2015-09-07 |
1245406792 | Beehive Homes of Centerville | Assisted Living Facility | 71 E Center St, Centerville, UT 84014-2244 | 2008-05-05 |
1003956202 | The Evangelical Lutheran Good Samaritan Society | Assisted Living Facility | 500 Vermillion St, Centerville, SD 57014 | 2007-02-07 |
Find all providers in CENTERVILLE |
City | CENTERVILLE |
Zip Code | 84014 |
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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.