GEORGE RIVERA (NPI# 1538601356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538601356 |
| Entity Type | Individual |
| Full Name | GEORGE RIVERA |
| Practice Address |
411 N Grant St Salt Lake City UT 84116-2725 |
| Practice Telephone | 8018288971 |
| Mailing Telephone | 8018288971 |
| Enumeration Date | 2016-11-10 |
| Last Update Date | 2016-11-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023371879 | George Jason Rivera | Early Intervention Provider Agency | 821 Palmer Rd, 2nd Floor, Bronxville, NY 10708-3319 | 2012-06-18 |
| 1275791246 | George Rivera | Dentist | 17w535 Butterfield Rd, Oakbrook Terrace, IL 60181-4010 | 2008-05-27 |
| 1871050849 | George M Rivera Jr. | Physical Therapy Assistant | 505 College Ave, Ottawa, IL 61350-3858 | 2019-02-26 |
| 1992186381 | George Rivera | Counselor | 19 Union Sq W, Floor 7, New York, NY 10003-3304 | 2015-06-11 |
| Street Address |
411 N GRANT ST |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84116-2725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174662282 | Sam Leslie Farris | Counselor | 411 N Grant St, Salt Lake City, UT 84116-2725 | 2007-02-05 |
| 1972144731 | Daisy Elizabeth Mae Lael | Counselor | 411 N Grant St, Salt Lake City, UT 84116-2725 | 2019-10-03 |
| 1871059139 | Joel Arvizo | Case Manager/Care Coordinator | 411 N Grant St, Salt Lake City, UT 84116-2725 | 2019-02-12 |
| 1477023497 | Thomas Childs | Psychologist | 411 N Grant St, Salt Lake City, UT 84116-2725 | 2018-12-03 |
| 1356827315 | Jeanine Kunshek | Case Manager/Care Coordinator | 411 N Grant St, Salt Lake City, UT 84116-2725 | 2018-07-12 |
| 1598250060 | Alex Ryan Stephens | Case Manager/Care Coordinator | 411 N Grant St, Salt Lake City, UT 84116-2725 | 2018-06-27 |
| 1053810648 | Kathryn Anne Tozzi | Social Worker | 411 N Grant St, Salt Lake City, UT 84116-2725 | 2018-02-08 |
| 1669983417 | Thomas Evan Mullaly | Peer Specialist | 411 N Grant St, Salt Lake City, UT 84116-2725 | 2017-10-19 |
| 1750811899 | Shawn Mcmillen | Counselor | 411 N Grant St, Salt Lake City, UT 84116-2725 | 2017-06-12 |
| 1760926562 | Janie Hansen | Social Worker | 411 N Grant St, Salt Lake City, UT 84116-2725 | 2016-12-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689281818 | Devery White | Case Manager/Care Coordinator | 195 N 1900 W, Salt Lake City, UT 84116 | 2020-10-01 |
| 1114402377 | Felicia Marie Speer | Community Health Worker | 1303 Sir Phillip Dr, Salt Lake City, UT 84116 | 2018-10-03 |
| 1982144341 | Sharlena Schacht | Pharmacy Technician | 1040 North 2200 West, Salt Lake City, UT 84116 | 2017-03-06 |
| 1316300460 | Riverside Family Dental Care, Inc | Clinic/Center | 1614 W 700 N, Salt Lake City, UT 84116 | 2016-04-05 |
| 1174882856 | Marilyn Ross | Nurse Practitioner | 384 Wright Brothers Dr., Marilyn Ross Bld #2, Salt Lake City, UT 84116 | 2012-05-15 |
| 1720387137 | Lifetime Products Inc. | Durable Medical Equipment & Medical Supplies | 745 N Warm Springs Rd, Salt Lake City, UT 84116 | 2011-03-24 |
| 1811000276 | Kim Coston Christensen | Preventive Medicine | 2150 West 700 North, Kim C. Christensen D.o. Faa Sl/artcc Mfo, Salt Lake City, UT 84116 | 2006-08-17 |
| 1144705583 | Brian Larry Gashler | Family Medicine | 54 N 8th W, Salt Lake City, UT 84116 | 2018-10-02 |
| 1528350972 | Aliesha Shaw | Student in an Organized Health Care Education/Training Program | 26 South 2000 East, 5900, Salt Lake City, UT 84116 | 2011-05-04 |
| 1427035187 | Sarah Lynn Woolsey | Family Medicine | 1365 W 1000 N, Salt Lake City, UT 84116 | 2005-12-23 |
| Find all providers in zip 84116 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013886 | Brc Wellness LLC | Substance Abuse Rehabilitation Facility | 4911 S 900 E Ste B, Salt Lake City, UT 84117-5747 | 2020-11-06 |
| 1528444999 | Jrl Broken Arrow LLC | Substance Abuse Rehabilitation Facility | 2610 S Highland Dr, Salt Lake City, UT 84106-2714 | 2015-08-07 |
| 1962891978 | Chris Ostler | Substance Abuse Rehabilitation Facility | 344 East 100 South,ste 301, Salt Lake City, UT 84111 | 2015-01-14 |
| 1144641564 | Ebh Southwest Services, Inc. | Substance Abuse Rehabilitation Facility | 8072 S Highland Dr, Salt Lake City, UT 84121-5037 | 2014-01-02 |
| 1093152290 | Sober Living Properties | Substance Abuse Rehabilitation Facility | 1027 E Millcreek Way, Salt Lake City, UT 84106-2015 | 2013-05-29 |
| 1831482231 | Project Recovery, Inc. | Substance Abuse Rehabilitation Facility | 1338 Foothill Dr, 162, Salt Lake City, UT 84108-2321 | 2011-05-18 |
| 1043515364 | The Haven | Substance Abuse Rehabilitation Facility | 1450 S West Temple, Apt F 304, Salt Lake City, UT 84115-5203 | 2011-01-18 |
| 1326358599 | Odyssey House | Substance Abuse Rehabilitation Facility | 340 East 100 South, Odyssey House, Salt Lake City, UT 84111 | 2010-10-20 |
| 1861524464 | Journey At Willowcreek | Substance Abuse Rehabilitation Facility | 8072 Highland Dr, Salt Lake City, UT 84121-5037 | 2007-03-09 |
| 1164521852 | Helping Hand Association | Substance Abuse Rehabilitation Facility | 974 East South Temple, Salt Lake City, UT 84102-1413 | 2006-09-21 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84116 |
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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.