PEAK MEDICAL OF UTAH, LLC (NPI# 1366497794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366497794 |
| Entity Type | Organization |
| Organization Name | PEAK MEDICAL OF UTAH, LLC |
| Other Organization Name | WASHINGTON TERRACE CENTER |
| Practice Address |
400 E 5350 S Ogden UT 84405-6931 |
| Mailing Address |
101 Sun Ave Ne Compliance Department Albuquerque NM 87109-4373 |
| Practice Telephone | 8014799855 |
| Practice Fax Number | 8014796219 |
| Mailing Telephone | 5054685604 |
| Mailing Fax Number | 5054684681 |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2016-01-15 |
| Authorized Official Name | STEVE ROTHWELL (PRESIDENT DIRECTOR) |
| Authorized Official Telephone | 5058213355 |
| Is Organization Subpart | Y |
| Parent Organization Name | PEAK MEDICAL LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 2014NCF97 | UT | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 806433900 | 05 | |
| NV | 001988010 | 05 | |
| UT | BLUE CROSS | 31118670601001 | 01 |
| WY | 120790300 | 05 |
| Other Name | Type Code |
|---|---|
| Washington Terrace Center | Doing Business As Name - Organization |
| Street Address |
400 E 5350 S |
| City | OGDEN |
| State | UT |
| Zip Code | 84405-6931 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669017919 | Kaitlin Evans | Physical Therapy Assistant | 400 E 5350 S, Ogden, UT 84405-6931 | 2019-11-11 |
| 1235795972 | Beaver Valley Hospital | Skilled Nursing Facility | 400 E 5350 S, Ogden, UT 84405-6931 | 2019-05-17 |
| 1053871608 | Kirstine Adamson | Physical Therapy Assistant | 400 E 5350 S, Ogden, UT 84405-6931 | 2019-03-20 |
| 1245613298 | Genesis Eldercare Physicians LLC | Internal Medicine | 400 E 5350 S, Ogden, UT 84405-6931 | 2015-07-08 |
| 1518202738 | Traci Roberta Myers | Physical Therapy Assistant | 400 E 5350 S, Ogden, UT 84405-6931 | 2012-11-28 |
| 1336483965 | William Weymouth Bates Jr. | Occupational Therapist | 400 E 5350 S, Ogden, UT 84405-6931 | 2012-11-20 |
| 1164627345 | Scott Hurley | Occupational Therapy Assistant | 400 E 5350 S, Ogden, UT 84405-6931 | 2007-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669028171 | Alyssa House | Behavioral Analyst | 4933 1500 West #110, Riverdale, UT 84405 | 2019-08-12 |
| 1518525989 | Petersen Farms Assisted Living & Memory Care | Assisted Living Facility | 6980 S. 475 E., South Weber, UT 84405 | 2019-05-31 |
| 1376038141 | National Vision, Inc. | Technician/Technologist | 821 West Riverdale Road, Riverdale, UT 84405 | 2018-06-25 |
| 1194218461 | South Weber City | Ambulance | 7365 S 1375 E, South Weber, UT 84405 | 2018-06-12 |
| 1528572682 | Sandra Jo Scott | Dental Hygienist | 264 W Ridgeline Dr, Washington Terrace, UT 84405 | 2017-11-28 |
| 1376079061 | Loretta Shupe | Registered Nurse | 5319 S 500 E, Ogden, UT 84405 | 2017-05-02 |
| 1134661374 | Randy Ferrin | Registered Nurse | 5697 Maplewood Drive, South Ogden, UT 84405 | 2016-11-04 |
| 1871046284 | Karla Rosen | Counselor | 5202 S. Freeway Park Dr., Riverdale, UT 84405 | 2016-08-02 |
| 1053784520 | Jenifer Rebecca Nilson Smith | Physical Therapist | 5648 S. Adams Ave, Washington Terrace, UT 84405 | 2015-11-05 |
| 1972976454 | Jenniferlyn Fletcher | Physical Therapy Assistant | 5648 South Adams Ave, Washington Terrace, UT 84405 | 2015-11-05 |
| Find all providers in zip 84405 | ||||
| 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 |
|---|---|---|---|---|
| 1114253275 | Avalon Care Center - Va Ogden, LLC | Skilled Nursing Facility | 1102 N 1200 W, Ogden, UT 84404-3687 | 2009-10-26 |
| 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 |
| 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.