BEAR RIVER VALLEY CARE CENTER (NPI# 1366650343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366650343 |
| Entity Type | Organization |
| Organization Name | BEAR RIVER VALLEY CARE CENTER |
| Practice Address |
460 W 600 N Tremonton UT 84337-2400 |
| Practice Telephone | 4352574400 |
| Mailing Telephone | 4352574400 |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2008-06-12 |
| Authorized Official Name | ERIC PACKER (ADMINISTRATOR) |
| Authorized Official Telephone | 4352577441 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311Z00000X | Custodial Care Facility | 2007NCF24 | UT | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | 942854058564 | 05 |
| Street Address |
460 W 600 N |
| City | TREMONTON |
| State | UT |
| Zip Code | 84337-2400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649673088 | Gunnison Valley Hospital | Skilled Nursing Facility | 460 W 600 N, Tremonton, UT 84337-2400 | 2014-09-30 |
| 1952551939 | Richard Evan Penrod | Physical Therapist | 460 W 600 N, Tremonton, UT 84337-2400 | 2008-09-25 |
| 1518149152 | Mission Health Services | Nursing Facility/Intermediate Care Facility | 460 W 600 N, Tremonton, UT 84337-2400 | 2007-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134563760 | Jm Gauruder LLC | Chiropractor | 805 W Main St., Suite C, Tremonton, UT 84337 | 2013-04-25 |
| 1366717159 | Sean C Horsley | Social Worker | 905 N 1000 E, Tremonton, UT 84337 | 2012-03-13 |
| 1740420835 | Clifton Duane Kerr | General Practice | 725 West 1000 North, Tremonton, UT 84337 | 2009-03-02 |
| 1780877191 | Todd Miller | Family Medicine | 935 S 1000 W, Tremonton, UT 84337 | 2007-08-20 |
| 1982754081 | Bronson C Schultz | Dentist | 525 N 400 W, Tremonton, UT 84337 | 2007-01-11 |
| 1508423252 | Jeffrey David Zilles | Optometrist | 495 W 600 N, Tremonton, UT 84337 | 2019-05-28 |
| 1366828642 | Shopko Stores Operating Co., LLC | Durable Medical Equipment & Medical Supplies | 440 W Main St, Tremonton, UT 84337 | 2015-08-10 |
| 1720330228 | Kristina C Gerlach | Social Worker | 440 W 600 N, Tremonton, UT 84337 | 2012-10-08 |
| 1295818664 | Dee Duncan | Psychologist | 881 N Tremont St, Tremonton, UT 84337-1025 | 2006-10-21 |
| 1730558792 | Sarah Hurst | Specialist/Technologist | 720 N 350 E, Tremonton, UT 84337-1040 | 2015-09-21 |
| Find all providers in zip 84337 | ||||
| Taxonomy Code | 311Z00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel. |
| Notes: Source: Paraphrased from Section 3159 A3 of the Medicare Intermediary Manual. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699237719 | Living Life Home Health and Day Care LLC | Custodial Care Facility | 845 N 400 E # A, Bountiful, UT 84010-4603 | 2019-04-05 |
| 1619208550 | The Coventry | Custodial Care Facility | 6898 S 2300 E, Slc, UT 84121-3195 | 2010-01-15 |
| 1700957552 | Neighborhood House | Custodial Care Facility | 423 So 1100 West, Salt Lake City, UT 84104 | 2006-11-13 |
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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.