CHRISTUS ST. JOSEPH VILLA (NPI# 1003010158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003010158 |
| Entity Type | Organization |
| Organization Name | CHRISTUS ST. JOSEPH VILLA |
| Other Organization Name | CHRISTUS MARIAN CENTER |
| Practice Address |
451 Bishop Federal Ln Salt Lake City UT 84115-2357 |
| Practice Telephone | 8014877557 |
| Practice Fax Number | 8014871112 |
| Mailing Telephone | 8014877557 |
| Mailing Fax Number | 8014871112 |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. SIMONE JASMIN HENNIG (LCSW) |
| Authorized Official Telephone | 8014686856 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282J00000X | Religious Nonmedical Health Care Institution | UT | Hospitals |
| Other Name | Type Code |
|---|---|
| Christus Marian Center | Doing Business As Name - Organization |
| Street Address |
451 BISHOP FEDERAL LN |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84115-2357 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376545798 | Mary Jane Norman | Internal Medicine | 451 Bishop Federal Ln, Salt Lake City, UT 84115-2357 | 2005-08-15 |
| 1346544962 | Connie J Simms | Social Worker | 451 Bishop Federal Ln, Salt Lake City, UT 84115-2357 | 2010-12-23 |
| 1255634879 | Successor Healthcare LLC | Assisted Living Facility | 451 Bishop Federal Ln, Salt Lake City, UT 84115-2357 | 2010-12-21 |
| 1558693523 | Mary Jane Norman Md A Professional Corporation | Medical Genetics | 451 Bishop Federal Ln, Salt Lake City, UT 84115-2357 | 2010-02-02 |
| 1780887521 | Simone Jasmin Hennig | Social Worker | 451 Bishop Federal Ln, Salt Lake City, UT 84115-2357 | 2007-06-08 |
| 1124142427 | Ihc Health Services Inc | Clinic/Center | 451 Bishop Federal Ln, Salt Lake City, UT 84115-2357 | 2007-03-19 |
| 1184708919 | Christus Health Utah | Psychiatric Hospital | 451 Bishop Federal Ln, Salt Lake City, UT 84115-2357 | 2006-10-25 |
| 1699868950 | Sonja J Bates | Nurse Practitioner | 451 Bishop Federal Ln, Salt Lake City, UT 84115-2357 | 2006-10-01 |
| 1093774218 | Christus Health Utah | Skilled Nursing Facility | 451 Bishop Federal Ln, Salt Lake City, UT 84115-2357 | 2006-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396344198 | Shannon Ballinger | Clinic/Center | 1470 400 W, Salt Lake City, UT 84115 | 2020-10-22 |
| 1992346704 | Anicka Inc | Clinic/Center | 3195 South Main St, Ste 260, South Salt Lake, UT 84115 | 2019-10-02 |
| 1083177505 | Vitor Gabriel Giuliani Alcantara Carioca | Specialist/Technologist | 1850 South Campus Drive, Salt Lake City, UT 84115 | 2019-04-11 |
| 1427528371 | Samuel James Leonhart | Behavior Technician | 354 East Coatsville Drive, Salt Lake City, UT 84115 | 2018-12-04 |
| 1093228645 | Eco Pharmacy LLC | Pharmacy | 3702 S State Street Suite 115, South Salt Lake City, UT 84115 | 2017-11-06 |
| 1568973055 | Eco Apothecary LLC | Pharmacy | 3701 S State Street Suite 114, South Salt Lake City, UT 84115 | 2017-10-24 |
| 1548780455 | Kelly Lund | Case Manager/Care Coordinator | 447 W. Bearcat Dr., Salt Lake City, UT 84115 | 2017-06-21 |
| 1104271238 | The Church of Philadelphia Inc. | Community/Behavioral Health | 2358 South Main Street, Salt Lake City, UT 84115 | 2016-04-26 |
| 1710368626 | Jennifer Swanhild Edwards | Counselor | 140 W 2100 S Ste 244, Salt Lake City, UT 84115 | 2015-06-16 |
| 1508247065 | John Mcguire | Health Educator | 1370 S. West Temple, Salt Lake City, UT 84115 | 2015-06-10 |
| Find all providers in zip 84115 | ||||
| Taxonomy Code | 282J00000X |
| Grouping | Hospitals |
| Classification | Religious Nonmedical Health Care Institution |
| Furnishes only nonmedical nursing items and services to patients who choose to rely solely upon a religious method of healing, and for whom the acceptance of medical services would be inconsistent with their religious beliefs. Furnishes nonmedical items and services exclusively through nonmedical nursing personnel who are experienced in caring for the physical needs of nonmedical patients. For example, caring for the physical needs such as assistance with activities of daily living; assistance in moving, positioning, and ambulation; nutritional needs; and comfort and support measures. Furnishes nonmedical items and services to inpatients on a 24-hour basis. Does not furnish, on the basis of religious beliefs, through its personnel or otherwise, medical items and services (including any medical screening, examination, diagnosis, prognosis, treatment, or the administration of drugs) for its patients. |
| Notes: Source: Centers for Medicare & Medicaid Services, http://www.cms.hhs.gov/CertificationandComplianc/19_RNHCIs.asp#TopOfPage [7/1/2006: new] |
| City | SALT LAKE CITY |
| Zip Code | 84115 |
Please comment or provide details below to improve the information on CHRISTUS ST. JOSEPH VILLA.
| 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.