AVALON CARE CENTER - VA OGDEN, LLC (NPI# 1114253275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114253275 |
| Entity Type | Organization |
| Organization Name | AVALON CARE CENTER - VA OGDEN, LLC |
| Other Organization Name | GEORGE E. WAHLEN OGDEN VETERANS HOME |
| Practice Address |
1102 N 1200 W Ogden UT 84404-3687 |
| Mailing Address |
206 N 2100 W Salt Lake City UT 84116-2927 |
| Practice Telephone | 8013250153 |
| Mailing Telephone | 8013250153 |
| Mailing Fax Number | 8015969001 |
| Enumeration Date | 2009-10-26 |
| Last Update Date | 2012-05-14 |
| Authorized Official Name | MRS. FAYE LINCOLN (VICE PRES. POLICY/GOV. RELATIONS) |
| Authorized Official Telephone | 8013250153 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| George E. Wahlen Ogden Veterans Home | Doing Business As Name - Organization |
| Street Address |
1102 N 1200 W |
| City | OGDEN |
| State | UT |
| Zip Code | 84404-3687 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407356009 | Mary Ann Stenquist | Speech-Language Pathologist | 1102 N 1200 W, Ogden, UT 84404-3652 | 2018-02-20 |
| 1932609567 | Heather Lovelady | Physical Therapy Assistant | 1102 N 1200 W, Ogden, UT 84404-3652 | 2018-02-20 |
| 1437659042 | Dawn Allen | Occupational Therapy Assistant | 1102 N 1200 W, Ogden, UT 84404-3652 | 2018-02-20 |
| 1396245221 | David Worthington | Physical Therapist | 1102 N 1200 W, Ogden, UT 84404-3652 | 2018-02-16 |
| 1104326032 | Ashley Justensen | Physical Therapist | 1102 N 1200 W, Ogden, UT 84404-3652 | 2018-02-16 |
| 1336521749 | Chelsea Reopelle | Occupational Therapist | 1102 N 1200 W, Ogden, UT 84404-3652 | 2015-06-22 |
| 1356754832 | Sara Hicken | Speech-Language Pathologist | 1102 N 1200 W, Ogden, UT 84404-3652 | 2014-06-03 |
| 1497179386 | Susan Swenson | Speech-Language Pathologist | 1102 N 1200 W, Ogden, UT 84404-3652 | 2014-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881159648 | Bingham Marriage & Family Counseling | Counselor | 1812 W 2000 N #1, Ogden, UT 84404 | 2019-02-06 |
| 1609362094 | Hoopes Dental | Dentist | 333 2nd St. Suite 1a, Ogden, UT 84404 | 2018-07-09 |
| 1497241384 | Alysia Cohen | Specialist/Technologist | 1527 9th Street, Ogden, UT 84404 | 2018-07-03 |
| 1235648049 | Walk Perfect, Inc. | Podiatrist | 1069 S. Stewart Dr, Suite 1, Ogden, UT 84404 | 2017-09-25 |
| 1043738602 | Veronica Skidmore | Specialist/Technologist | 3848 Harrison Blvd., Ogden, UT 84404 | 2017-09-05 |
| 1134645526 | Pco-kta, LLC | Pharmacy | 3673 West 2600 North, Plain City, UT 84404 | 2017-08-17 |
| 1568899227 | Alisa Roberts | Marriage & Family Therapist | 1181 Christmas Box Lane, Ogden, UT 84404 | 2013-09-26 |
| 1366796351 | Kenneth Andrew Boothe | Chiropractor | 1920 North 250 West, Suite 24, Ogden, UT 84404 | 2012-10-30 |
| 1760730659 | Mercury Medical LLC | Durable Medical Equipment & Medical Supplies | 3385 W 2525 N, Plain City, UT 84404 | 2012-08-27 |
| 1700131471 | Tina Middleton | Massage Therapist | 1700w 2700n, # 37, Pleasant View, UT 84404 | 2012-07-19 |
| Find all providers in zip 84404 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386802403 | Todd Poulson | Skilled Nursing Facility | 3430 Harrison Blvd, Ogden, UT 84403-1231 | 2008-05-27 |
| 1386744183 | Country Meadow Snf Lc | Skilled Nursing Facility | 5865 S. Wasatch Drive, Ogden, UT 84403-5209 | 2006-09-22 |
| 1366497794 | Peak Medical of Utah, LLC | Skilled Nursing Facility | 400 E 5350 S, Ogden, UT 84405-6931 | 2006-05-24 |
| 1295797579 | Ogden Manor LLC | Skilled Nursing Facility | 625 E Oak, Ogden, IA 50212 | 2006-04-04 |
| 1467450775 | Aspen Care Center Inc | Skilled Nursing Facility | 2325 Madison Ave, Ogden, UT 84401-1618 | 2005-07-11 |
| 1790782357 | Infinia At Ogden | Skilled Nursing Facility | 524 E 800 N, Ogden, UT 84404-3600 | 2005-06-28 |
| 1689677932 | Daywest Healthcare Services Inc. | Skilled Nursing Facility | 3665 Brinker Ave, Ogden, UT 84403-2017 | 2005-05-31 |
| 1235795972 | Beaver Valley Hospital | Skilled Nursing Facility | 400 E 5350 S, Ogden, UT 84405-6931 | 2019-05-17 |
| 1346784402 | Beaver Valley Hospital | Skilled Nursing Facility | 3430 Harrison Blvd, Ogden, UT 84403-1231 | 2016-12-08 |
| 1235587577 | Beaver Valley Hospital | Skilled Nursing Facility | 3665 Brinker Ave, Ogden, UT 84403-2017 | 2016-05-26 |
| Find all providers in OGDEN | ||||
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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.