UTAH STATE VETERANS NURSING HOME (NPI# 1760594048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760594048 |
| Entity Type | Organization |
| Organization Name | UTAH STATE VETERANS NURSING HOME |
| Practice Address |
700 Foothill Blvd Salt Lake City UT 84113-1104 |
| Practice Telephone | 8015841900 |
| Practice Fax Number | 8015841960 |
| Mailing Telephone | 8015841900 |
| Mailing Fax Number | 8015841960 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MISS COLLEEN NICHOLS (ADMINISTRATOR) |
| Authorized Official Telephone | 8015841900 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | ========= | UT | Nursing & Custodial Care Facilities |
| Street Address |
700 FOOTHILL BLVD |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84113-1104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689176612 | Shari Ann Bowen | Physical Therapy Assistant | 700 Foothill Blvd, Salt Lake City, UT 84113-1104 | 2018-03-06 |
| 1710489737 | Mikelle Coleman Goodman | Occupational Therapy Assistant | 700 Foothill Blvd, Salt Lake City, UT 84113-1104 | 2018-03-06 |
| 1063914091 | Kristen Elise Ashley | Physical Therapist | 700 Foothill Blvd, Salt Lake City, UT 84113-1104 | 2018-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386111060 | Melissa Marie Dixon | Psychologist | Primary Children's Hospital Outpatient Services, 81 South Mario Capecchi Drive, Salt Lake City, UT 84113 | 2018-10-31 |
| 1366965618 | Ashley Stuart | Psychologist | 44 North Mario Capecchi Drive, Salt Lake City, UT 84113 | 2017-07-19 |
| 1487945135 | Justin C Wheeler | Pediatrics | 81 N Mario Capecchi Dr Fl 4, Salt Lake City, UT 84113 | 2011-04-29 |
| 1154612117 | Dana Boucek | Pediatrics | 100 North Mario Capecchi Dr., Primary Children's, Salt Lake City, UT 84113 | 2011-04-26 |
| 1285959502 | Anna Katherine Eyre Ermarth | Pediatrics | 81 Mario Capecchi, Salt Lake City, UT 84113 | 2010-03-30 |
| 1457682072 | Elizabeth K Cho | Nurse Practitioner | 100 North Mario Cappechi Dr., Salt Lake City, UT 84113 | 2010-01-21 |
| 1528290848 | Nancy Crandell Brown | Nurse Practitioner | 100 North Mario Cappechi Drive, Salt Lake City, UT 84113 | 2009-08-20 |
| 1679708481 | Primary Children's Medical Center | General Acute Care Hospital | 100 No. Mario Capecchi Drive, Salt Lake, UT 84113 | 2009-05-22 |
| 1467697235 | Tara Hook | Physical Therapist | 100 North Mario Capecchi Dr, Salt Lake City, UT 84113 | 2008-12-09 |
| 1144474768 | Jennifer K Workman | Pediatrics | 100 N Mario Capecchi Drive, Pediatric Crtical Care, Primary Children's Hospital, Salt Lake City, UT 84113 | 2008-11-10 |
| Find all providers in zip 84113 | ||||
| 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 |
| 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 |
| 1457338956 | Mission Health Services | Skilled Nursing Facility | 1216 E 1300 S, Salt Lake City, UT 84105-1949 | 2005-12-27 |
| 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 | 84113 |
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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.