SRE ASL SG, LLC (NPI# 1407461460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407461460 |
| Entity Type | Organization |
| Organization Name | SRE ASL SG, LLC |
| Practice Address |
2654 Red Cliffs Dr St George UT 84790-5827 |
| Practice Telephone | 4356881622 |
| Practice Fax Number | 4359861228 |
| Mailing Telephone | 4356881622 |
| Mailing Fax Number | 4359861228 |
| Enumeration Date | 2020-09-15 |
| Last Update Date | 2020-09-15 |
| Authorized Official Name | CANDICE FINE (AUTHORIZED AGENT) |
| Authorized Official Telephone | 4802449173 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Spring Gardens of St George | Doing Business As Name - Organization |
| Street Address |
2654 RED CLIFFS DR |
| City | ST GEORGE |
| State | UT |
| Zip Code | 84790-5827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342713 | Katrina Poulsen | Student in an Organized Health Care Education/Training Program | 617 East Rriverside Dr, Ste 301, St. George, UT 84790 | 2020-10-08 |
| 1124643226 | Desert View Eyecare | Optometrist | 15 South River Road St. 150, St. George, UT 84790 | 2020-06-15 |
| 1366066417 | Benjamin Todd Lloyd | Dentist | 1683 E. Wolf Hole Dr, St. George, UT 84790 | 2020-06-04 |
| 1801434584 | Jennifer M Putnam | Marriage & Family Therapist | 321 North Mall Drive, Vw103, St. George, UT 84790 | 2019-12-12 |
| 1326683012 | Red Mountain Counseling and Education | Counselor | 321 No Mall Dr, Vw 103, St. George, UT 84790 | 2019-11-17 |
| 1295376002 | Karynne Kimberly Simpson | Behavior Technician | 280 N 1680 E U1, St. George, UT 84790 | 2019-10-02 |
| 1962053017 | Mikala Larsen | Nurse Practitioner | 1380 S Medical Center Dr., Saint George, UT 84790 | 2019-09-20 |
| 1326690678 | Joe Ballent | Student in an Organized Health Care Education/Training Program | 1526 S Medical Center Dr Ste 224a, St George, UT 84790 | 2019-07-16 |
| 1558923854 | David Pace | Optometrist | 749 South River Rd, St. George, UT 84790 | 2019-07-08 |
| 1639734924 | Mariah Ann Mertlich | Behavioral Analyst | 280 N 1680 E, U1, St. George, UT 84790 | 2019-05-02 |
| Find all providers in zip 84790 | ||||
| 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 |
|---|---|---|---|---|
| 1518434216 | Joel C. Horne & Co., Inc. | Assisted Living Facility | 2041 Mesa Palms Dr Unit B, St George, UT 84770-7205 | 2018-10-31 |
| 1235606021 | Joel C. Horne & Co., Inc. | Assisted Living Facility | 2397 S River Rd, St George, UT 84790-8280 | 2018-10-30 |
| 1629545413 | Joel C. Horne & Co., Inc. | Assisted Living Facility | 2041 Mesa Palms Dr Unit A, St George, UT 84770-7213 | 2018-10-30 |
| 1083151575 | Ms - Ac Sunriver Senior Living LLC | Assisted Living Facility | 4480 S Arrowhead Canyon Dr, St George, UT 84790-4969 | 2017-01-23 |
| 1124410451 | E.jones Legacy Care Homes | Assisted Living Facility | 325 S 200 E Apt 9, St George, UT 84770-3649 | 2015-02-24 |
| 1912140708 | Platinum Care, Inc | Assisted Living Facility | 2046 N Tuweap Dr, St George, UT 84770-4763 | 2009-04-09 |
| 1033251061 | Rosecrest Manor | Assisted Living Facility | 48 W 700 S, St George, UT 84770-3547 | 2007-02-13 |
| 1063577443 | The Meadows | Assisted Living Facility | 950 S 400 E, St George, UT 84770-4008 | 2006-12-26 |
| 1033274451 | St. George Assisted Living LLC | Assisted Living Facility | 220 S 1200 E, St George, UT 84790-5529 | 2006-12-26 |
| 1821158486 | Beehive Homes of Washington County, Inc. | Assisted Living Facility | 1555 W 1170 N, St George, UT 84770-6597 | 2006-12-12 |
| Find all providers in ST GEORGE | ||||
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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.