MISSION HEALTH SERVICES (NPI# 1457338956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457338956 |
| Entity Type | Organization |
| Organization Name | MISSION HEALTH SERVICES |
| Other Organization Name | HILLSIDE REHABILITATION CENTER |
| Practice Address |
1216 E 1300 S Salt Lake City UT 84105-1949 |
| Mailing Address |
5007 S Mission Dr Saint Joseph MO 64505-9404 |
| Practice Telephone | 8014875865 |
| Practice Fax Number | 8014875869 |
| Mailing Telephone | 8162329573 |
| Mailing Fax Number | 8162329596 |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2014-09-16 |
| Authorized Official Name | MR. GARY M. KELSO (PRESIDENT) |
| Authorized Official Telephone | 8013891523 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 2005 NCF 467 | UT | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Hillside Rehabilitation Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013994516 | Mission Health Services | Skilled Nursing Facility | 25 Alpine Ave, Pleasant Grove, UT 84062-3511 | 2005-12-27 |
| 1104249432 | Mission Health Services | Skilled Nursing Facility | 1445 Uinta Dr, Green River, WY 82935-5004 | 2014-01-22 |
| 1518149152 | Mission Health Services | Nursing Facility/Intermediate Care Facility | 460 W 600 N, Tremonton, UT 84337-2400 | 2007-12-05 |
| Street Address |
1216 E 1300 S |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84105-1949 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134651235 | Gunnison Valley Hospital | Skilled Nursing Facility | 1216 E 1300 S, Salt Lake City, UT 84105-1949 | 2017-03-29 |
| 1821431131 | Amy Louise Berens | Occupational Therapist | 1216 E 1300 S, Salt Lake City, UT 84105-1949 | 2013-04-17 |
| 1215287024 | Ansley Tramell | Physical Therapist | 1216 E 1300 S, Salt Lake City, UT 84105-1949 | 2012-09-19 |
| 1467746073 | Mark Orlo Walker | Physical Therapist | 1216 E 1300 S, Salt Lake City, UT 84105-1949 | 2011-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285106237 | Laiyan H Bawadeen | Counselor | 1425 700 E Suite #102, Salt Lake City, UT 84105 | 2018-12-31 |
| 1639644255 | Claire Elizabeth Gray | Marriage & Family Therapist | 1425 700 East, Salt Lake City, UT 84105 | 2018-10-10 |
| 1083089643 | Celisa Packer | Social Worker | 2020 E Lake St, Salt Lake City, UT 84105 | 2015-12-08 |
| 1083052963 | Christina Elizabeth Burton | Nurse Practitioner | 1008 S 1100 E, Apt 6, Salt Lake City, UT 84105 | 2013-06-12 |
| 1649548355 | Leland Burt Cowan | Surgery | 1405 Princeton Ave, Salt Lake City, UT 84105 | 2011-12-08 |
| 1639460355 | Sally Cathleen Webster | Counselor | 1248 Yale Avenue, Salt Lake City, UT 84105 | 2011-04-28 |
| 1912205105 | Melissa Wilson | Case Manager/Care Coordinator | 1522 S 1100 E, Salt Lake City, UT 84105 | 2011-03-11 |
| 1013215789 | Tamara Marie Wright | Counselor | 1996 Lake St, Salt Lake City, UT 84105 | 2011-03-04 |
| 1144527243 | Crystal Nicole Garduno | Counselor | 1522 South 1100 East, Salt Lake City, UT 84105 | 2011-02-25 |
| 1508011180 | Keith Elliott | Anesthesiology | 1552 South 1000 East, Salt Lake City, UT 84105 | 2008-11-24 |
| Find all providers in zip 84105 | ||||
| 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 |
|---|---|---|---|---|
| 1962955237 | Beaver Valley Hospital | Skilled Nursing Facility | 4782 S Holladay Blvd, Salt Lake City, UT 84117-5444 | 2016-08-03 |
| 1902130222 | Beaver Valley Hospital | Skilled Nursing Facility | 2200 East 3300 South, Salt Lake City, UT 84109 | 2009-09-21 |
| 1598990699 | Beaver Valley Hospital | Skilled Nursing Facility | 4600 S. Highland Drive, Salt Lake City, UT 84117 | 2009-05-19 |
| 1629129689 | Subtenant 1430 East 4500 South LLC | Skilled Nursing Facility | 1430 East 4500 South, Salt Lake City, UT 84117-4208 | 2007-01-16 |
| 1760594048 | Utah State Veterans Nursing Home | Skilled Nursing Facility | 700 Foothill Blvd, Salt Lake City, UT 84113-1104 | 2006-08-31 |
| 1225061229 | Salt Lake Operations, LLC | Skilled Nursing Facility | 1201 E 4500 S, Salt Lake City, UT 84117-4124 | 2006-07-10 |
| 1679526156 | Sunrise Senior Living Services, Inc | Skilled Nursing Facility | 76 S 500 E, Salt Lake City, UT 84102-1044 | 2006-05-18 |
| 1326098039 | Eagles Soar Inc. | Skilled Nursing Facility | 433 E 2700 S, Salt Lake City, UT 84115-3325 | 2006-05-11 |
| 1548218050 | Evergreen At Holladay, L.L.C. | Skilled Nursing Facility | 4600 South Highland Dr, Salt Lake City, UT 84117-5108 | 2006-05-05 |
| 1700862380 | Arlington Hill Care Center | Skilled Nursing Facility | 165 S 1000 E, Salt Lake City, UT 84102-1402 | 2005-12-15 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84105 |
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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.